Individual
BEHAILU DAVID CORKERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 NE 199TH AVE, PORTLAND, OR 97230-8022
(206) 990-3357
Mailing address
11012 NE MASON ST, PORTLAND, OR 97220-2626
(206) 990-3357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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