Individual provider · Type 1 NPI

Stephanie Ann Burk, CADC II, CRC

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1417451220 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Call (503) 535-1150 Map

Fax (503) 528-0800

Mailing address

PO Box 3007
Portland, OR 97208-3007

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14-03-26 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417451220

Stephanie Ann Burk, CADC II, CRC's National Provider Identifier is 1417451220, issued on Mar 19, 2018. 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 Mar 19, 2018.