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DIETRICH LAMONT MCDANIEL CADCII/CRM/PSS/QMHAI
NPI 1548752199
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since May 30, 2018
620 NE 2ND ST, GRESHAM, OR 97030(971) 274-3757(503) 912-5740 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dietrich Lamont Mcdaniel Cadcii/crm/pss/qmhai NPPES

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

DIETRICH LAMONT MCDANIEL CADCII/CRM/PSS/QMHAI (NPI 1548752199) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (22-11-20216) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1548752199
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDIETRICH LAMONT MCDANIELCredential: CADCII/CRM/PSS/QMHAI
Location Address620 NE 2ND STGresham, OR 97030-7514
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (971) 260-0355
Phone(971) 274-3757
Fax(503) 912-5740
Sole ProprietorNo
Enumeration DateMay 30, 2018
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1548752199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OR · 22-11-20216✔ Licensed in OR · 17-CRM-068
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 23-QMHA-I-003592 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000001862 (OR)
620 NE 2ND ST, Gresham, OR 97030
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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.

KATHY A LITVIN CSWA/QMHP-C
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
MISS ELIZABETH L VALADEZ CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
CHRISTINA H COLLIER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JESSICA A TRAILER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DANIELLE CURTIS CRM-II CADC-I QMHA-R
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
ALBIE M LEMOS CADC-R/CSWA
Social Worker
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JUDITH YADIRA BRACAMONTES QMHA-R
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DUANE W KOWALSKI CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757

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 Dietrich Mcdaniel's NPI number?

The NPI number for Dietrich Mcdaniel is 1548752199. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Dietrich Mcdaniel located?

Dietrich Mcdaniel practices at 620 NE 2nd St, Gresham, OR 97030. The listed phone number is (971) 274-3757.

What is Dietrich Mcdaniel'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 Dietrich Mcdaniel was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.