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Search › Oregon › Addiction (Substance Use Disorder) Counselor

Kimberly Wallace, CADC 1

NPI 1942592340 · on the registry since 2011

Practice

Address
1427 Se 182nd Ave
Portland, OR 97233
Phone
(971) 202-7851
Fax
(503) 206-7164
Clinicians at this address
60

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Also registered as
Addiction (Substance Use Disorder) Counselor
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-04

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