Charles Cole, MSW, CADCIII

NPI 1558878850 · on the registry since 2018 · sole proprietor

Practice

Address: 707 Ne Couch St
Portland, OR 97232
Phone: (503) 233-6090
Fax: (503) 542-4623
Organisation at this address: Janus Youth Programs
Janus Youth Programs, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 117

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon