DOUGLAS K O'DELL

CLACKAMAS, OR
NPI1720194392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  OR 97-04-47)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
-- DOUGLAS K O'DELL M.A.
10163 SE SUNNYSIDE RD STE 490
CLACKAMAS, OR 97015-5720
Phone number: 503-513-4413
Mailing Address
-- DOUGLAS K O'DELL M.A.
1395 CORNELL AVE
GLADSTONE, OR 97027-4607
Phone number: 503-657-7232