Individual provider · Type 1 NPI

David John Beaty, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1205710563 Active

Practice location

3550 N Interstate Ave
Portland, OR 97227-1196

Call (503) 249-3434 Map

Mailing address

18040 NW Chemeketa Ln
Portland, OR 97229-1779

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26-07-11992 (OR)

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

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About NPI 1205710563

David John Beaty, CADC I's National Provider Identifier is 1205710563, issued on Jul 31, 2025. 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 Aug 1, 2026.