Individual
MS. DARLENE SCISSONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 NE 18TH AVE, PORTLAND, OR 97232-2822
(505) 747-0404
Mailing address
12670 NW BARNES RD, PORTLAND, OR 97229-9001
(505) 747-0404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WDLBP34C293B
WA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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