Individual
CLARENCE ROY MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 2
Contact information
Practice address
10362 SW MCDONALD ST, TIGARD, OR 97224-4863
(503) 624-0312
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 624-0312
(503) 639-3973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-R-48U
OR
Other
Enumeration date
02/28/2018
Last updated
04/20/2020
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