Individual provider · Type 1 NPI

Douglas K. O'Dell, M.A.

Addiction (Substance Use Disorder) Counselor · Clackamas, OR

NPI number 1720194392 Active

Practice location

10163 SE Sunnyside Rd Ste 490
Clackamas, OR 97015-5720

Mailing address

1395 Cornell Ave
Gladstone, OR 97027-4607

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XOR 97-04-47 (OR)

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

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About NPI 1720194392

Douglas K. O'Dell, M.A.'s National Provider Identifier is 1720194392, issued on Aug 23, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clackamas, OR. The record was last updated on Jul 8, 2007.