MILES ERICSON CRAIG

PORTLAND, OR
NPI1588376941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-12-16
Last Update Date2025-12-24
Business Address
MILES ERICSON CRAIG
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 503-235-8655
Mailing Address
MILES ERICSON CRAIG
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: