Individual provider · Type 1 NPI
Walter Lyndel Bailey, C.R.M.
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1194157396
Active
Practice location
1312 SW Washington St
Portland, OR 97205-2327
Mailing address
PO Box 3007
Portland, OR 97208-3007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1194157396
Walter Lyndel Bailey, C.R.M.'s National Provider Identifier is 1194157396, issued on Jul 30, 2013. 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 Jul 30, 2013.