Individual provider · Type 1 NPI

Virginia Smith

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1306234919 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

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 1306234919

Virginia Smith's National Provider Identifier is 1306234919, issued on Jan 5, 2015. 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 Jan 5, 2015.