Individual provider · Type 1 NPI

David Poole, CADCI PROVISIONAL

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1699169946 Active

Practice location

1030 NE Couch St.
Portland, OR 97232

Call (503) 239-8400 Map

Fax (503) 239-8407

Mailing address

1027 E. Burnside St.
Portland, OR 97214

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 1699169946

David Poole, CADCI PROVISIONAL's National Provider Identifier is 1699169946, issued on Mar 25, 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 Mar 25, 2015.