Individual provider · Type 1 NPI

Harley J. Earl Iii, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1104177914 Active

Practice location

1949 SE 122nd Ave
Portland, OR 97233-1303

Call (971) 271-6313 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12-03-09 (OR)

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

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About NPI 1104177914

Harley J. Earl Iii, CADC I's National Provider Identifier is 1104177914, issued on Sep 20, 2012. 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 20, 2012.