person
Harley J Earl III, CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1104177914

Harley J Earl III is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Harley J Earl III practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Harley J Earl III is 1104177914 and holds a License No. 12-03-09 (Oregon).

The current practice location address for Harley J Earl III is 1949 Se 122Nd Ave, Portland, OR and can be reached out via phone at 971-271-6313.

Location: 1949 Se 122Nd Ave, Portland, OR, 97209-3609
person
Provider Profile Details
NPI Number
1104177914
Provider Name
Harley J Earl III
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
1949 Se 122Nd Ave, Portland, OR, 97209-3609
Phone Number
971-271-6313
Fax Number
Provider Enumeration Date
09/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1949 Se 122Nd Ave
City
State
Zip
97233-1303
Phone Number
971-271-6313
Fax Number
person
Provider Business Mailing Address Details
Address
1949 Se 122Nd Ave
City
State
Zip
97233-1303
Phone Number
971-271-6313
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12-03-09 (Oregon)
Definition
Definition to come...
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