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Janice C. Premo
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1518146802

Janice C. Premo is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Janice C. Premo practices in Portland, OR. The NPI Number for Janice C. Premo is 1518146802 and holds a License No. 2044 (Oregon).

The current practice location address for Janice C. Premo is 6400 Se Lake Rd Ste 102, Portland, OR and can be reached out via phone at 503-810-8111.

Location: 6400 Se Lake Rd Ste 102, Portland, OR, 97222-2129
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Provider Profile Details
NPI Number
1518146802
Provider Name
Janice C. Premo
Credential
Provider Entity Type
Individual
Gender
Female
Address
6400 Se Lake Rd Ste 102, Portland, OR, 97222-2129
Phone Number
503-810-8111
Fax Number
Provider Enumeration Date
11/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07-09-36 01 OR CADC1
institution
Provider Business Practice Location Address Details
Address
6400 Se Lake Rd Ste 102
City
State
Zip
97222-2129
Phone Number
503-810-8111
Fax Number
person
Provider Business Mailing Address Details
Address
6400 Se Lake Rd Ste 102
City
State
Zip
97222-2129
Phone Number
503-810-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
85365 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2044 (Oregon)
Definition
Definition to come...
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