Individual
NATHANAEL STANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
Mailing address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-08-32
OR
Other
Enumeration date
06/21/2017
Last updated
01/05/2023
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