Individual provider · Type 1 NPI
Reginal Stroughter, CRM, CGAC1, CADC1 AP
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1225564180
Active
Practice location
5257 NE Martin Luther King Jr Ste 201
Portland, OR 97211-3283
Fax (503) 430-5403
Mailing address
10564 SE Washington St
Portland, OR 97216-2809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12-CRM-046 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1225564180
Reginal Stroughter, CRM, CGAC1, CADC1 AP's National Provider Identifier is 1225564180, issued on May 11, 2017. 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 Sep 25, 2018.