Individual provider · Type 1 NPI

Roger Dale Clooten

Addiction (Substance Use Disorder) Counselor · Hillsboro, OR

NPI number 1902299712 Active

Practice location

254 N 1st Ave
Hillsboro, OR 97124-3003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12CRM031 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X81-0634495 (OR)

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

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About NPI 1902299712

Roger Dale Clooten's National Provider Identifier is 1902299712, issued on Mar 18, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hillsboro, OR. The record was last updated on Mar 18, 2015.