PAUL DOUG DERHAM

PORTLAND, OR
NPI1003795618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-08-28
Last Update Date2025-08-28
Business Address
PAUL DOUG DERHAM CADC-R
4713 N ALBINA AVE STE 301
PORTLAND, OR 97217-2605
Phone number: 503-707-9771
Mailing Address
PAUL DOUG DERHAM CADC-R
4713 N ALBINA AVE STE 301
PORTLAND, OR 97217-2605
Phone number:
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