Individual provider · Type 1 NPI

David Kistner

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1447011176 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Call (971) 248-8899 Map

Mailing address

6336 NE Glisan St
Portland, OR 97213-5053

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1447011176

David Kistner's National Provider Identifier is 1447011176, issued on Jan 19, 2024. 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 19, 2024.