PATTI DAVIS CADC11
NPI 1760501076
Counselor - Addiction (Substance Use Disorder) in Portland, OR
Active since March 28, 2007
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 535-1150(503) 528-0800 Get Directions Write a Review
About Patti Davis Cadc11 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATTI DAVIS CADC11 (NPI 1760501076) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1760501076
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePATTI DAVISCredential: CADC11
Location Address4310 NE KILLINGSWORTH STPortland, OR 97218-1404
Mailing Address906 Sw 14th StTroutdale, OR 97060-1419 · (503) 667-2997
Phone(503) 535-1150
Fax(503) 528-0800
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760501076 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
4310 NE KILLINGSWORTH ST, Portland, OR 97218
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))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
PORTLAND, OR 97218
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
PORTLAND, OR 97218
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
PORTLAND, OR 97218
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
PORTLAND, OR 97218
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
PORTLAND, OR 97218
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
PORTLAND, OR 97218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760501076, enumerated as an "individual" on March 28, 2007.
The provider is located at 4310 NE KILLINGSWORTH ST PORTLAND, OR 97218 and the phone number is (503) 535-1150.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
