Individual provider · Type 1 NPI

Wayne Martin Mallory, CADCI

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1881906238 Active

Practice location

16000 SE Powell Blvd Unit 65
Portland, OR 97236-1783

Call (503) 239-5738 Map

Fax (503) 239-8429

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X09-09-31 (OR)

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

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About NPI 1881906238

Wayne Martin Mallory, CADCI's National Provider Identifier is 1881906238, issued on Jul 13, 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 Jul 13, 2010.