Individual provider · Type 1 NPI
Michael Mulligan
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1770913121
Active
Practice location
9370 SW Greenburg Rd, Suite 601
Portland, OR 97223-5442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 02-11-56 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1770913121
Michael Mulligan's National Provider Identifier is 1770913121, issued on Nov 22, 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 Nov 22, 2013.