Individual provider · Type 1 NPI

David Calderilla

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1013762939 Active

Practice location

12672 SE Stark St
Portland, OR 97233-1058

Call (503) 546-9975 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-24-3828 (OR)

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

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About NPI 1013762939

David Calderilla's National Provider Identifier is 1013762939, issued on Apr 23, 2024. 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 Apr 23, 2024.