Individual provider · Type 1 NPI
Jacob E. Skokan, CADC I
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1437278736
Active
Practice location
231 SE 12th Avenue
Portland, OR 97214-1342
Fax (503) 546-9976
Mailing address
232 NW 6th Avenue
Portland, OR 97209-3609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 08-08-39 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1437278736
Jacob E. Skokan, CADC I's National Provider Identifier is 1437278736, issued on Mar 28, 2007. 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 20, 2011.