Individual provider · Type 1 NPI

Tony James Vezina, BSW, CRM, PSS, CADC

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1144912874 Active

Practice location

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

Mailing address

14036 SE Fircrest St
Portland, OR 97236-6621

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1144912874

Tony James Vezina, BSW, CRM, PSS, CADC's National Provider Identifier is 1144912874, issued on May 22, 2023. 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 May 22, 2023.