LOKI TWO OWLS

PORTLAND, OR
NPI1356239628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-25-5438)
Enumeration Date2025-06-25
Last Update Date2025-06-25
Business Address
LOKI TWO OWLS CADC-R CRM
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-248-8899
Mailing Address
LOKI TWO OWLS CADC-R CRM
6705 SE 77TH AVE
PORTLAND, OR 97206-7105
Phone number: 503-765-0599