person
Peyton Olivia Koppenhaver
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1104542786

Peyton Olivia Koppenhaver is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Peyton Olivia Koppenhaver practices in Portland, OR. The NPI Number for Peyton Olivia Koppenhaver is 1104542786 and holds a License No. (Oregon).

The current practice location address for Peyton Olivia Koppenhaver is 4445 S Barbur Blvd Ste 205, Portland, OR and can be reached out via phone at 503-768-6325.

Location: 4445 S Barbur Blvd Ste 205, Portland, OR, 97239-4047
person
Provider Profile Details
NPI Number
1104542786
Provider Name
Peyton Olivia Koppenhaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
4445 S Barbur Blvd Ste 205, Portland, OR, 97239-4047
Phone Number
503-768-6325
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4445 S Barbur Blvd Ste 205
City
State
Zip
97239-4047
Phone Number
503-768-6325
Fax Number
person
Provider Business Mailing Address Details
Address
4445 S Barbur Blvd Ste 205
City
State
Zip
97239-4047
Phone Number
503-768-6325
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...
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