Individual provider · Type 1 NPI

Craig Chan

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1508226556 Active

Practice location

10101 SW Barbur Blvd Ste 101
Portland, OR 97219-5915

Fax (503) 245-6263

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15-04-05 (OR)

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

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About NPI 1508226556

Craig Chan's National Provider Identifier is 1508226556, issued on Mar 3, 2016. 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 Mar 3, 2016.