Individual provider · Type 1 NPI

Kimberly Wallace, CADC 1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1942592340 Active

Practice location

1427 SE 182nd Ave
Portland, OR 97233-5008

Call (971) 202-7851 Map

Fax (503) 206-7164

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X140414 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

51 other providers at this address

Other addiction (substance use disorder) counselor providers in Portland

See all in Portland →

About NPI 1942592340

Kimberly Wallace, CADC 1's National Provider Identifier is 1942592340, issued on May 4, 2011. 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 4, 2018.