Individual provider · Type 1 NPI

Katelyn Cushman

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1417465451 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 546-6377 Map

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 1417465451

Katelyn Cushman's National Provider Identifier is 1417465451, issued on Jan 11, 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 Jan 11, 2018.