Individual provider · Type 1 NPI

Leroy G. Bigboy, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1669451332 Active

Practice location

1631 SW Columbia St
Portland, OR 97201-6025

Call (503) 231-2641 Map

Fax (503) 231-1654

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X01-P-03 (OR)

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

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About NPI 1669451332

Leroy G. Bigboy, CADC I's National Provider Identifier is 1669451332, issued on Jan 11, 2006. 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 Apr 14, 2017.