Individual provider · Type 1 NPI
Mandy Mae Putnam, CADC II
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1649662446
Active
Practice location
12180 SE Market St
Portland, OR 97216-3923
Mailing address
1027 E Burnside St
Portland, OR 97214-1328
Other practice locations
- 1427 SE 182nd Ave, Portland, OR 97233-5008 · (503) 761-1434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1649662446
Mandy Mae Putnam, CADC II's National Provider Identifier is 1649662446, issued on Mar 3, 2015. 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 Nov 2, 2026.