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Roxanne J Hollo, CRM/QMHA-I
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1578274296

Roxanne J Hollo is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Roxanne J Hollo practices in Portland, OR and has the professional credentials of CRM/QMHA-I. The NPI Number for Roxanne J Hollo is 1578274296 and holds a License No. 23-QMHA-I-003671 (Oregon).

The current practice location address for Roxanne J Hollo is 1310 Sw 17Th Ave, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-467-4077.

Location: 1310 Sw 17Th Ave, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1578274296
Provider Name
Roxanne J Hollo
Credential
CRM/QMHA-I
Provider Entity Type
Individual
Gender
Female
Address
1310 Sw 17Th Ave, Portland, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-467-4077
Provider Enumeration Date
12/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500818931 05 OR
institution
Provider Business Practice Location Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider Business Mailing Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
23-CRM-1991 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
23-QMHA-I-003671 (Oregon)
Definition
Definition to come...
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