Individual provider · Type 1 NPI

Leslie Dudley, B.A.

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1134417710 Active

Practice location

959 NE 165th Ave
Portland, OR 97230-6148

Call (503) 408-4100 Map

Fax (503) 408-8384

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1134417710

Leslie Dudley, B.A.'s National Provider Identifier is 1134417710, issued on Jul 15, 2011. 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 30, 2013.