Individual provider · Type 1 NPI

Niccole Trautman

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1972044410 Active

Practice location

6601 NE 78th Ct, Suite A-3
Portland, OR 97218-2823

Call (503) 252-3949 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC040091116 (CA)

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

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About NPI 1972044410

Niccole Trautman's National Provider Identifier is 1972044410, issued on Mar 16, 2017. 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 Mar 16, 2017.