Individual provider · Type 1 NPI

Angela Thomas

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1194494013 Active

Practice location

1616 E Burnside St
Portland, OR 97214-1453

Call (971) 271-6066 Map

Mailing address

121 NW Everett St
Portland, OR 97209-4049

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24-05-11115 (OR)
Mental Health Counselor 101YM0800X25-QMHA-I-004945 (OR)
Peer Specialist 175T00000XNone listed

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

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About NPI 1194494013

Angela Thomas's National Provider Identifier is 1194494013, issued on Sep 13, 2021. 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 1, 2026.