Individual
ACACIA HUYNH D'ANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(503) 761-6006
(503) 761-1434
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
941735271
—
OR
Enumeration date
05/13/2022
Last updated
08/29/2022
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