Individual provider · Type 1 NPI

Trista Parker, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1487341764 Active

Practice location

6601 NE 78th Ct Ste A3
Portland, OR 97218-2823

Fax (503) 252-4027

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-2511 (OR)

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

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About NPI 1487341764

Trista Parker, CADC-R's National Provider Identifier is 1487341764, issued on Apr 18, 2023. 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 Apr 18, 2023.