Individual
MR. EINSTEIN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CADC-III
Contact information
Practice address
4725 SE DIVISION ST APT 313, PORTLAND, OR 97206-1570
(541) 993-7882
Mailing address
4725 SE DIVISION ST APT 313, PORTLAND, OR 97206-1570
(541) 993-7882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C5178
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-R-08
OR
Other
Enumeration date
05/06/2013
Last updated
01/12/2020
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