Individual
DONALD ANTHONY FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCI, CRM
Contact information
Practice address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(503) 988-9009
(503) 988-4575
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 988-9009
(503) 988-4575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07-06-16
OR
171M00000X
Case Manager/Care Coordinator
11-CRM-145
OR
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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