DAVID CALDERILLA
NPI 1013762939
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since April 23, 2024
12672 SE STARK ST, PORTLAND, OR 97233(503) 546-9975 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Calderilla NPPES

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

DAVID CALDERILLA (NPI 1013762939) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-24-3828) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1013762939
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDAVID CALDERILLA
Location Address12672 SE STARK STPortland, OR 97233-1058
Mailing Address232 Nw 6th AvePortland, OR 97209-3609
Sole ProprietorNo
Enumeration DateApril 23, 2024
NPPES CertifiedApril 23, 2024
NPI 1013762939 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
License Licensed in OR · T-24-3828
12672 SE STARK ST, Portland, OR 97233

Other Providers at the Same Location NPPES 9

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

Counselor (Addiction (Substance Use Disorder))
12672 SE STARK ST
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
12672 SE STARK ST
PORTLAND, OR 97233
Physical Therapist
12672 SE STARK ST, PL 125 BLDG A
PORTLAND, OR 97233
Physical Therapist (Orthopedic)
12672 SE STARK ST
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
12672 SE STARK ST
PORTLAND, OR 97233
Social Worker (Clinical)
12672 SE STARK ST
PORTLAND, OR 97233
Counselor (Mental Health)
12672 SE STARK ST
PORTLAND, OR 97233
Counselor (Mental Health)
12672 SE STARK ST
PORTLAND, OR 97233

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 David Calderilla's NPI number?

The NPI number for David Calderilla is 1013762939. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is David Calderilla located?

David Calderilla practices at 12672 SE Stark St, Portland, OR 97233. The listed phone number is (503) 546-9975.

What is David Calderilla'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 David Calderilla was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.