JOSHUA MCDANNELL CADC-R
NPI 1386417335
Clinic/Center - Rehabilitation, Substance Use Disorder in Portland, OR
- Individual
- Male
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About JOSHUA MCDANNELL
This page provides the complete NPI Profile along with additional information for Joshua Mcdannell, a provider established in Portland, Oregon with a medical specialization in Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1386417335 assigned on November 2023. The practitioner's primary taxonomy code is 261QR0405X with license number T-23-3223 (OR). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1386417335 Verify this NPI
- Provider Name
- JOSHUA MCDANNELL CADC-R
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1122 NE 122ND AVE STE 200 PORTLAND, OR 97230
- Location Phone
- (503) 594-4750
- Mailing Address
- 21724 SE ALDER DR APT 3 GRESHAM, OR 97030
- Mailing Phone
- (503) 505-1577
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-01-2023
- Last Update Date
- 11-01-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- T-23-3223
- License State
- OR
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386417335, enumerated as an "individual" on November 01, 2023.
The provider is located at 1122 NE 122ND AVE STE 200 PORTLAND, OR 97230 and the phone number is (503) 594-4750.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
