HARRISON AIDALA

PORTLAND, OR
NPI1811660905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-26
Last Update Date2021-07-26
Business Address
HARRISON AIDALA CADC-R
1030 NE COUCH ST
PORTLAND, OR 97232-3067
Phone number: 503-239-8400
Mailing Address
HARRISON AIDALA CADC-R
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400