Individual provider · Type 1 NPI

Robert Timothy Pea, CADC

Addiction (Substance Use Disorder) Counselor · Happy Valley, OR

NPI number 1720379290 Active

Practice location

11089 SE Westchester Ave
Happy Valley, OR 97086-7092

Call (503) 307-5203 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11-03-70 (OR)

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

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About NPI 1720379290

Robert Timothy Pea, CADC's National Provider Identifier is 1720379290, issued on May 2, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Happy Valley, OR. The record was last updated on May 2, 2011.