PAUL DOUG DERHAM CADC-R
NPI 1003795618
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since August 28, 2025
4713 N ALBINA AVE STE 301, PORTLAND, OR 97217(503) 707-9771 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Doug Derham Cadc-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL DOUG DERHAM CADC-R (NPI 1003795618) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1003795618
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePAUL DOUG DERHAMCredential: CADC-R
Location Address4713 N ALBINA AVE STE 301Portland, OR 97217-2605
Mailing Address4713 N Albina Ave Ste 301Portland, OR 97217-2605
Sole ProprietorNo
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1003795618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4713 N ALBINA AVE STE 301, Portland, OR 97217

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
4713 N ALBINA AVE STE 301
PORTLAND, OR 97217
Counselor (Addiction (Substance Use Disorder))
4713 N ALBINA AVE STE 301
PORTLAND, OR 97217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Derham's NPI number?

The NPI number for Paul Derham is 1003795618. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Paul Derham located?

Paul Derham practices at 4713 N Albina Ave Ste 301, Portland, OR 97217. The listed phone number is (503) 707-9771.

What is Paul Derham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Paul Derham was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.