Individual
KEEDEHN HAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
2720 NE FLANDERS ST, PORTLAND, OR 97232-3160
(503) 238-5203
Mailing address
2720 NE FLANDERS ST, PORTLAND, OR 97232-3160
(503) 238-5203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
09/28/2021
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