Individual provider · Type 1 NPI

Paul Modesitt, CADC1

Addiction (Substance Use Disorder) Counselor · Oregon City, OR

NPI number 1699276550 Active

Practice location

900 Main St Ste 200
Oregon City, OR 97045-1869

Call (971) 386-3401 Map

Fax (503) 723-6653

Mailing address

706 Main St
Oregon City, OR 97045-1815

Other practice locations

  • 706 Main St, Oregon City, OR 97045-1815 · (503) 655-1029

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Peer Specialist 175T00000X17-CRM-187 (OR)

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

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About NPI 1699276550

Paul Modesitt, CADC1's National Provider Identifier is 1699276550, issued on Feb 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oregon City, OR. The record was last updated on Jan 6, 2022.