Individual provider · Type 1 NPI

Lorie Jean Everist

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1407164288 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Call (503) 238-0769 Map

Fax (503) 552-6208

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 1407164288

Lorie Jean Everist's National Provider Identifier is 1407164288, issued on Sep 15, 2010. 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 Sep 15, 2010.