IGWE WATERS
NPI 1760923791
Counselor - Addiction (Substance Use Disorder) in Portland, OR
Active since March 09, 2017
About Igwe Waters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IGWE WATERS (NPI 1760923791) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since March 2017.
NPPES Registry Identity
NPI1760923791
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameIGWE WATERS
Location Address17214 SE DIVISION STPortland, OR 97236-1282
Mailing Address17214 Se Division StPortland, OR 97236-1282 · (503) 761-5272 · Fax (503) 762-6250
Phone(503) 761-5272
Fax(503) 762-6250
Sole ProprietorYes
Enumeration DateMarch 9, 2017
✔ NPI 1760923791 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
17214 SE DIVISION ST, Portland, OR 97236
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
17214 SE DIVISION ST
PORTLAND, OR 97236
PORTLAND, OR 97236
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760923791, enumerated as an "individual" on March 09, 2017.
The provider is located at 17214 SE DIVISION ST PORTLAND, OR 97236 and the phone number is (503) 761-5272.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).