Individual provider · Type 1 NPI

Kevin Anthony Michaelson, CADC 1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1760720858 Active

Practice location

1027 E Burnside St
Portland, OR 97214-1328

Call (503) 236-2290 Map

Fax (503) 239-8407

Mailing address

1027 E Burnside, Coda
Portland, OR 97214

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 1760720858

Kevin Anthony Michaelson, CADC 1's National Provider Identifier is 1760720858, issued on Jan 23, 2013. 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 Feb 17, 2015.