Individual
TIMOTHY HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Mailing address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OR-10042-M
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292910
—
OR
Enumeration date
03/10/2016
Last updated
03/10/2016
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