Individual
CLARK CASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
6950 SW HAMPTON ST, STE 109, TIGARD, OR 97223-8329
(971) 255-1513
Mailing address
6950 SW HAMPTON ST, STE 109, TIGARD, OR 97223-8329
(971) 255-1513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00-07-05
OR
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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