Individual provider · Type 1 NPI

Tina Marie Stromberg

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1629114467 Active

Practice location

2415 SE 43rd Ave Ste 200
Portland, OR 97206-1671

Fax (503) 239-5953

Mailing address

7314 N Fiske Ave
Portland, OR 97203-4518

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1629114467

Tina Marie Stromberg's National Provider Identifier is 1629114467, issued on Jan 29, 2007. 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 12, 2007.