Individual provider · Type 1 NPI
Jeffrey Eugene Foidel, CADC 2
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1740462977
Active
Practice location
1500 NE Irving St, Suite 250
Portland, OR 97232-2243
Mailing address
2242 NE 142nd Ave
Portland, OR 97230-3920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9504124 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740462977
Jeffrey Eugene Foidel, CADC 2's National Provider Identifier is 1740462977, issued on Nov 29, 2007. 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 Nov 29, 2007.