Individual provider · Type 1 NPI

Ben Wyatt

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1033427216 Active

Practice location

727 NE 24th Ave
Portland, OR 97232-2222

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 1033427216

Ben Wyatt's National Provider Identifier is 1033427216, issued on Sep 21, 2010. 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 21, 2010.