Individual
PATRICIA BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1150
Mailing address
PO BOX 3007, PORTLAND, OR 97208-3007
(503) 535-1150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-16-051
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-16-051
ACCBO
OR
Enumeration date
03/02/2017
Last updated
03/02/2017
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