LEROY G BIGBOY CADC I
NPI 1669451332
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since January 11, 2006
1631 SW COLUMBIA ST, PORTLAND, OR 97201(503) 231-2641(503) 231-1654 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leroy G Bigboy Cadc I NPPES

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

LEROY G BIGBOY CADC I (NPI 1669451332) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (01-P-03) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1669451332
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLEROY G BIGBOYCredential: CADC I
Location Address1631 SW COLUMBIA STPortland, OR 97201-6025
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (971) 386-2278 · Fax (503) 621-2235
Fax(503) 231-1654
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateApril 14, 2017
NPI 1669451332 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 · 01-P-03
1631 SW COLUMBIA ST, Portland, OR 97201

Other Identifiers 1

Medicaid500656423OR

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.

Psychologist
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Registered Nurse
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Substance Abuse Rehabilitation Facility
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201

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 Leroy Bigboy's NPI number?

The NPI number for Leroy Bigboy is 1669451332. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Leroy Bigboy located?

Leroy Bigboy practices at 1631 SW Columbia St, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Leroy Bigboy'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 Leroy Bigboy was last updated on April 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.