Individual provider · Type 1 NPI

Stacy Elaine Luis, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1497573893 Active

Practice location

9570 SW Barbur Blvd
Portland, OR 97219-5412

Call (971) 232-2234 Map

Mailing address

9570 SW Barbur Blvd Ste 100
Portland, OR 97219-5412

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-24-4363 (OR)

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

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About NPI 1497573893

Stacy Elaine Luis, CADC-R's National Provider Identifier is 1497573893, issued on Oct 3, 2024. 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 Oct 3, 2024.