Individual provider · Type 1 NPI

Paul Doug Derham, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1003795618 Active

Practice location

4713 N Albina Ave Ste 301
Portland, OR 97217-2605

Call (503) 707-9771 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003795618

Paul Doug Derham, CADC-R's National Provider Identifier is 1003795618, issued on Aug 28, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2025.