Individual provider · Type 1 NPI

Maytrone Shemarland Clayborn, BA, MDIV

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1043982192 Active

Practice location

1427 SE 182nd Ave
Portland, OR 97233-5008

Call (503) 761-6005 Map

Fax (503) 761-1434

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

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 1043982192

Maytrone Shemarland Clayborn, BA, MDIV's National Provider Identifier is 1043982192, issued on Sep 28, 2021. 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 28, 2021.