Individual provider · Type 1 NPI

Tilden McDonald Jr., CRM/PSS

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1821691668 Active

Practice location

355 NW Division St
Gresham, OR 97030-5523

Fax (503) 231-1654

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Other practice locations

  • 1631 SW Columbia St, Portland, OR 97201-6025 · (503) 231-2641

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XTHW000004376 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20-CRM-067 (OR)

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

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About NPI 1821691668

Tilden McDonald Jr., CRM/PSS's National Provider Identifier is 1821691668, issued on Nov 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Jan 8, 2025.