Individual provider · Type 1 NPI

Ronda Vanzant, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1023450657 Active

Practice location

10564 SE Washington St
Portland, OR 97216

Fax (503) 228-9558

Mailing address

PO Box 16756
Portland, OR 97292-0576

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X07-06-36 (OR)
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-07-25U (OR)

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About NPI 1023450657

Ronda Vanzant, CADC I's National Provider Identifier is 1023450657, issued on Jul 24, 2013. 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 Sep 5, 2018.