person
Wyman Macon
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1053060772

Wyman Macon is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Wyman Macon practices in Portland, OR. The NPI Number for Wyman Macon is 1053060772 and holds a License No. (Oregon).

The current practice location address for Wyman Macon is 605 Se Cesar E Chavez Blvd, Portland, OR and can be reached out via phone at 503-231-7480.

Location: 605 Se Cesar E Chavez Blvd, Portland, OR, 97214-3216
person
Provider Profile Details
NPI Number
1053060772
Provider Name
Wyman Macon
Credential
Provider Entity Type
Individual
Gender
Male
Address
605 Se Cesar E Chavez Blvd, Portland, OR, 97214-3216
Phone Number
503-231-7480
Fax Number
Provider Enumeration Date
03/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
605 Se Cesar E Chavez Blvd
City
State
Zip
97214-3216
Phone Number
503-231-7480
Fax Number
person
Provider Business Mailing Address Details
Address
605 Se Cesar E Chavez Blvd
City
State
Zip
97214-3216
Phone Number
503-231-7480
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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