Individual provider · Type 1 NPI

Theodore Callaway

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1265922280 Active

Practice location

1427 SE 182nd Ave
Portland, OR 97233-5008

Call (971) 202-7781 Map

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1265922280

Theodore Callaway's National Provider Identifier is 1265922280, issued on May 15, 2018. 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 May 15, 2018.