Individual provider · Type 1 NPI

Peyton Olivia Koppenhaver

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1104542786 Active

Practice location

4445 S Barbur Blvd Ste 205
Portland, OR 97239-4047

Call (503) 768-6325 Map

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 1104542786

Peyton Olivia Koppenhaver's National Provider Identifier is 1104542786, issued on Oct 17, 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 Oct 17, 2022.