Individual provider · Type 1 NPI

Shayna Pukini, CADC REGISTRANT

Addiction (Substance Use Disorder) Counselor · Oregon City, OR

NPI number 1497387096 Active

Practice location

900 Main St Ste 200
Oregon City, OR 97045-1869

Mailing address

PO Box 16576
Portland, OR 97292-0576

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-19-437 (OR)

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

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About NPI 1497387096

Shayna Pukini, CADC REGISTRANT's National Provider Identifier is 1497387096, issued on Feb 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oregon City, OR. The record was last updated on Feb 11, 2020.