Individual provider · Type 1 NPI

Tony Stampanetta Walton

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1457512402 Active

Practice location

2415 SE 43rd Ave
Portland, OR 97206-1600

Call (503) 238-0705 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1457512402

Tony Stampanetta Walton's National Provider Identifier is 1457512402, issued on Jun 23, 2008. 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 Jun 23, 2008.