Individual provider · Type 1 NPI

Irvin D. Wilson, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1952931776 Active

Practice location

17645 NW Saint Helens Rd
Portland, OR 97231-1729

Call (503) 621-1069 Map

Fax (503) 621-0200

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20-11-14 (OR)

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

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About NPI 1952931776

Irvin D. Wilson, CADC I's National Provider Identifier is 1952931776, issued on Jan 21, 2020. 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 Jun 29, 2022.