Individual provider · Type 1 NPI

David Madison Humphries, CADC I/CRM II

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1184054710 Active

Practice location

355 NW Division St
Gresham, OR 97030-5523

Fax (503) 231-1654

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Other practice locations

  • 1631 SW Columbia St, Portland, OR 97201-6025 · (503) 231-2641

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17-CRM-II-011 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14-07-06 (OR)

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

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About NPI 1184054710

David Madison Humphries, CADC I/CRM II's National Provider Identifier is 1184054710, issued on Nov 18, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Apr 15, 2025.