Individual provider · Type 1 NPI

Pamela Commodore, MSW, CADC

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1033547393 Active

Practice location

200 SE 7th Ave
Portland, OR 97214-1200

Call (503) 972-9535 Map

Fax (503) 239-7390

Mailing address

3910 SE Stark St
Portland, OR 97214-3241

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X080616 (OR)
Mental Health Counselor 101YM0800XA2266 (OR)
Clinical Social Worker 1041C0700XL6405 (OR)

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

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About NPI 1033547393

Pamela Commodore, MSW, CADC's National Provider Identifier is 1033547393, issued on Oct 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 Apr 27, 2015.