Individual provider · Type 1 NPI

Frederick Berry

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1194147223 Active

Practice location

3034 NE Mlk Blvd
Portland, OR 97212-3053

Call (503) 238-3763 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

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 1194147223

Frederick Berry's National Provider Identifier is 1194147223, issued on Jan 8, 2014. 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 8, 2014.