Individual
SHAWN LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
1776 SW MADISON ST, PORTLAND, PORTLAND, OR 97205-1715
(503) 244-1044
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 224-4494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14-04-07
OR
Other
Enumeration date
02/07/2015
Last updated
02/22/2017
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