Individual provider · Type 1 NPI
Heidi Lynn Fredeen
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1295510386
Active
Practice location
3036 NE Mlk Jr Blvd
Portland, OR 97212-3053
Fax (503) 735-0912
Mailing address
PO Box 8459
Portland, OR 97207-8459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295510386
Heidi Lynn Fredeen's National Provider Identifier is 1295510386, issued on Aug 28, 2023. 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 28, 2023.