Individual
SANDRA LYNN DURAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC 1
Contact information
Practice address
6025 SE BELMONT ST, PORTLAND, OR 97215-1927
(866) 262-0531
Mailing address
3100 SE 168TH AVE APT 134, VANCOUVER, WA 98683-2112
(616) 375-2428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-R-52
OR
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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