DUKE MOTEN

PORTLAND, OR
NPI1487321659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  00-03-30)
Enumeration Date2021-08-25
Last Update Date2021-08-25
Business Address
DUKE MOTEN CADC II, QMHA-1
6025 SE BELMONT ST
PORTLAND, OR 97215-1927
Phone number: 503-960-4741
Mailing Address
DUKE MOTEN CADC II, QMHA-1
12412 NE STANTON ST
PORTLAND, OR 97230-1650
Phone number: 503-960-4741
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