Individual provider · Type 1 NPI

Wilder Heartwood, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1740906916 Active

Practice location

2720 NE Flanders St
Portland, OR 97232-3160

Call (503) 238-5203 Map

Mailing address

2405 SE 105th Ave
Portland, OR 97216-3050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1740906916

Wilder Heartwood, CADC-R's National Provider Identifier is 1740906916, issued on Oct 18, 2022. 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 Oct 18, 2022.