Individual provider · Type 1 NPI
Eveangela Ortencia Ahmed
Addiction (Substance Use Disorder) Counselor · Redmond, OR
NPI number
1194277962
Active
Practice location
737 SW Cascade Ave
Redmond, OR 97756-2221
Fax (541) 322-7565
Mailing address
2577 NE Courtney Dr
Bend, OR 97701-7638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 4783077 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1194277962
Eveangela Ortencia Ahmed's National Provider Identifier is 1194277962, issued on Oct 27, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redmond, OR. The record was last updated on Oct 27, 2016.