Individual provider · Type 1 NPI

Nikki Laine Gray

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1144860966 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Call (503) 535-1181 Map

Mailing address

PO Box 3007
Portland, OR 97208-3007

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 1144860966

Nikki Laine Gray's National Provider Identifier is 1144860966, issued on Jan 9, 2020. 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 Jan 9, 2020.