Individual provider · Type 1 NPI

Susan Mawdesley Haines, MS, CDS III, NCGC II

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1679610018 Active

Practice location

131 NE 102nd Ave
Portland, OR 97220-4167

Call (503) 253-6754 Map

Fax (503) 253-8020

Mailing address

1507 Cedar St
Lake Oswego, OR 97034-4713

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

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

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About NPI 1679610018

Susan Mawdesley Haines, MS, CDS III, NCGC II's National Provider Identifier is 1679610018, issued on Feb 1, 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 Sep 11, 2025.