Individual provider · Type 1 NPI

Judy B. Hickey, CADC I/QMHA-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1477045128 Active

Practice location

17645 NW Saint Helens Rd
Portland, OR 97231-1729

Call (503) 621-1069 Map

Fax (503) 621-0200

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12-12-28 (OR)
Mental Health Counselor 101YM0800X25-QMHA-R-6983 (OR)

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

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About NPI 1477045128

Judy B. Hickey, CADC I/QMHA-R's National Provider Identifier is 1477045128, issued on May 30, 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 Feb 4, 2026.