Individual provider · Type 1 NPI

Michael Crose, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1689363053 Active

Practice location

10920 SW Barbur Blvd
Portland, OR 97219-8600

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 1689363053

Michael Crose, CADC I's National Provider Identifier is 1689363053, issued on May 2, 2023. 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 Feb 12, 2026.