Individual provider · Type 1 NPI

Denbigh Nicole Sockpealuk Perry, QMHA-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1114844065 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Call (971) 279-4800 Map

Fax (971) 279-2051

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26-QMHA-R-8755 (OR)

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

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About NPI 1114844065

Denbigh Nicole Sockpealuk Perry, QMHA-R's National Provider Identifier is 1114844065, issued on Jul 1, 2026. 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 1, 2026.