Individual provider · Type 1 NPI

Jeremy Eckard

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1093323396 Active

Practice location

6601 NE 78th Ct Ste A3
Portland, OR 97218-2823

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-20-248 (OR)

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

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About NPI 1093323396

Jeremy Eckard's National Provider Identifier is 1093323396, issued on Jul 22, 2020. 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 Jul 22, 2020.