Individual provider · Type 1 NPI

Cheryl Moten

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1619256294 Active

Practice location

3716 NE Mlk Jr Blvd
Portland, OR 97212-1111

Call (503) 288-8066 Map

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1619256294

Cheryl Moten's National Provider Identifier is 1619256294, issued on Aug 12, 2011. 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 Aug 12, 2011.