Individual
PAMELA HUNTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Mailing address
923 NE 63RD AVE, PORTLAND, OR 97213-4339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-05-07
OR
104100000X
Social Worker
—
—
Other
Enumeration date
08/08/2016
Last updated
10/07/2019
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