Individual provider · Type 1 NPI

Sean Nelson

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1700350402 Active

Practice location

1122 NE 122nd Ave Ste 102
Portland, OR 97230-2081

Call (310) 750-8960 Map

Mailing address

11006 SE Henderson Dr
Portland, OR 97266-5063

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-18-469 (OR)

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

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About NPI 1700350402

Sean Nelson's National Provider Identifier is 1700350402, issued on Jan 15, 2019. 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 Jan 15, 2019.