Individual provider · Type 1 NPI

Thomas John Clemeno Iii

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1891699625 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Call (503) 704-8266 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-26-6824 (OR)

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

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About NPI 1891699625

Thomas John Clemeno Iii's National Provider Identifier is 1891699625, issued on Oct 6, 2026. 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 6, 2026.