Individual
DEBOURAH RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
2545 NE FLANDERS ST, PORTLAND, OR 97232-3139
(503) 235-3546
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-12-69U
OR
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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