Individual
MS. ANGELICA NIKO CHERNYSHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
211 NE 18TH AVE, PORTLAND, OR 97232-2822
(603) 748-0404
Mailing address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(603) 748-0404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3496
OR
Other
Enumeration date
04/23/2024
Last updated
04/28/2024
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