person
Mike C Theodore, QMHA
Addiction (Substance Use Disorder) Counselor in Beaverton, Oregon
NPI 1316644735

Mike C Theodore is an Addiction (Substance Use Disorder) Counselor based in Davidsville, OR and is specialized in Addiction (Substance Use Disorder). Mike C Theodore practices in Beaverton, OR and has the professional credentials of QMHA. The NPI Number for Mike C Theodore is 1316644735 and holds a License No. 35007 (Oregon).

The current practice location address for Mike C Theodore is 17933 Nw Evergreen Pkwy Ste 111, Beaverton, OR and can be reached out via phone at 814-243-0414 and via fax at 814-479-5906.

Location: 17933 Nw Evergreen Pkwy Ste 111, Beaverton, OR, 15928-9223
person
Provider Profile Details
NPI Number
1316644735
Provider Name
Mike C Theodore
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
17933 Nw Evergreen Pkwy Ste 111, Beaverton, OR, 15928-9223
Phone Number
814-243-0414
Fax Number
814-479-5906
Provider Enumeration Date
02/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17933 Nw Evergreen Pkwy Ste 111
City
State
Zip
97006-7452
Phone Number
814-243-0414
Fax Number
814-479-5906
person
Provider Business Mailing Address Details
Address
17933 Nw Evergreen Pkwy Ste 111
City
State
Zip
97006-7452
Phone Number
814-243-0414
Fax Number
814-479-5906
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
35007 (New York)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.