Individual provider · Type 1 NPI

Amber Clarissa Rubalcava

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1083366322 Active

Practice location

1030 NE Couch St
Portland, OR 97232-3067

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1083366322

Amber Clarissa Rubalcava's National Provider Identifier is 1083366322, issued on Jan 18, 2022. 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 Dec 30, 2022.