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Individual

CALVIN SCHROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, CADC1

Contact information

Practice address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18-09-39
OR
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/20/2015
Last updated
06/25/2019
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