Individual provider · Type 1 NPI

Easton Hallock, CADC II, QMHA II

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1467220236 Active

Practice location

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770

Call (503) 866-0877 Map

Fax (503) 771-2436

Mailing address

10117 SE Sunnyside Rd Ste F
Clackamas, OR 97015-7708

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X24-07-20450 (OR)

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

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About NPI 1467220236

Easton Hallock, CADC II, QMHA II's National Provider Identifier is 1467220236, issued on Dec 12, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Jan 15, 2025.