Individual
MR. ROBERT R SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA. CADC 1
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
(503) 535-1191
Mailing address
PO BOX 3007, 1312 SW WASHINGTON STREET, PORTLAND, OR 97208-3007
(503) 535-1151
(503) 535-1191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-12-45
OR
101YP2500X
Professional Counselor
C3388
OR
Other
Enumeration date
05/24/2011
Last updated
03/13/2015
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