Individual provider · Type 1 NPI
Joshua McDannell, CADC-R
Substance Use Disorder Rehabilitation Clinic/Center · Portland, OR
NPI number
1386417335
Active
Practice location
1122 NE 122nd Ave Ste 200
Portland, OR 97230-2081
Mailing address
21724 SE Alder Dr Apt 3
Gresham, OR 97030-2449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | T-23-3223 (OR) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Other substance use disorder rehabilitation clinic/center providers in Portland
About NPI 1386417335
Joshua McDannell, CADC-R's National Provider Identifier is 1386417335, issued on Nov 1, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Portland, OR. The record was last updated on Nov 1, 2023.