Individual provider · Type 1 NPI

Delrae Lynn Damron, CACD-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1104704139 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Mailing address

12670 NW Barnes Rd Ste 200
Portland, OR 97229-9001

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-25-5693 (OR)

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

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About NPI 1104704139

Delrae Lynn Damron, CACD-R's National Provider Identifier is 1104704139, issued on Aug 26, 2025. 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 Aug 26, 2025.