Individual provider · Type 1 NPI

Ryan Olds

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1396979860 Active

Practice location

3034 NE Martin Luther King Jr Blvd
Portland, OR 97212-3053

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1396979860

Ryan Olds's National Provider Identifier is 1396979860, issued on May 12, 2009. 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 31, 2009.