Individual provider · Type 1 NPI

Calvin Schrock, MSW, CADC1

Mental Health Counselor · Portland, OR

NPI number 1811386493 Active

Practice location

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

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18-09-39 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1811386493

Calvin Schrock, MSW, CADC1's National Provider Identifier is 1811386493, issued on Jan 20, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 25, 2019.