MR. GERALD HENRY DE VOE II CADC-R
NPI 1366276123
Counselor - Addiction (Substance Use Disorder) in Portland, OR
Active since August 26, 2024
10763 SW GREENBURG RD STE 100, PORTLAND, OR 97223(503) 684-8159(503) 598-0934 Get Directions Write a Review
About Mr. Gerald Henry De Voe Ii Cadc-r NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GERALD HENRY DE VOE II CADC-R (NPI 1366276123) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-20-293) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1366276123
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GERALD HENRY DE VOE IICredential: CADC-R
Location Address10763 SW GREENBURG RD STE 100Portland, OR 97223-5492
Mailing Address10763 Sw Greenburg Rd Ste 100Portland, OR 97223-5492 · (503) 684-8159 · Fax (503) 598-0934
Phone(503) 684-8159
Fax(503) 598-0934
Sole ProprietorNo
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1366276123 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-20-293
10763 SW GREENBURG RD STE 100, Portland, OR 97223
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
TIGARD, OR 97223
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
TIGARD, OR 97223
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366276123, enumerated as an "individual" on August 26, 2024.
The provider is located at 10763 SW GREENBURG RD STE 100 PORTLAND, OR 97223 and the phone number is (503) 684-8159.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).