Organization · Type 2 NPI

Ascension Health Centers

Addiction Medicine (Family Medicine) Physician · Portland, OR

NPI number 1417333535 Active

Practice location

8083 SE 13th Ave, Suite #3
Portland, OR 97202-6668

Call (971) 533-5840 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401XMD18862 (OR)

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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About NPI 1417333535

Ascension Health Centers's National Provider Identifier is 1417333535, issued on Jul 31, 2015. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2015.