Individual provider · Type 1 NPI

Bryan Dale Robertson

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1134047624 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Call (971) 272-8968 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-26-6745 (OR)

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

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About NPI 1134047624

Bryan Dale Robertson's National Provider Identifier is 1134047624, issued on Jul 9, 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 9, 2026.