Individual provider · Type 1 NPI

Nathaniel Richard Conklin, QMHA, CLINICAL COUNS

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1811261506 Active

Practice location

847 NE 19th Ave Ste 100
Portland, OR 97232-2684

Call (503) 238-0769 Map

Fax (503) 238-0769

Mailing address

950 Cedar Way SE
Salem, OR 97302-3111

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor 101YM0800XCADCII: 13-12-54 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCADC II, 13-12-54 (OR)

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

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About NPI 1811261506

Nathaniel Richard Conklin, QMHA, CLINICAL COUNS's National Provider Identifier is 1811261506, issued on Feb 28, 2012. 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 Apr 11, 2017.