Individual provider · Type 1 NPI

Stacy Pickerel

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1669885786 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Call (503) 780-9284 Map

Mailing address

PO Box 941
Sandy, OR 97055-0941

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 1669885786

Stacy Pickerel's National Provider Identifier is 1669885786, issued on Jun 5, 2014. 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 Jun 5, 2014.