Individual provider · Type 1 NPI

Michelle Farrakhan

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1790015329 Active

Practice location

3034 NE Martin Luther King Jr Blvd
Portland, OR 97212-3053

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1790015329

Michelle Farrakhan's National Provider Identifier is 1790015329, issued on Jan 4, 2010. 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 12, 2022.