person
Rick Lavern Mathiesen, CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1588172142

Rick Lavern Mathiesen is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Rick Lavern Mathiesen practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Rick Lavern Mathiesen is 1588172142 and holds a License No. 17-11-20 (Oregon).

The current practice location address for Rick Lavern Mathiesen is 10101 Sw Barbur Blvd Ste 101, Portland, OR and can be reached out via phone at 503-245-6262 and via fax at 503-245-6263.

Location: 10101 Sw Barbur Blvd Ste 101, Portland, OR, 97219-5915
person
Provider Profile Details
NPI Number
1588172142
Provider Name
Rick Lavern Mathiesen
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
10101 Sw Barbur Blvd Ste 101, Portland, OR, 97219-5915
Phone Number
503-245-6262
Fax Number
503-245-6263
Provider Enumeration Date
01/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10101 Sw Barbur Blvd Ste 101
City
State
Zip
97219-5915
Phone Number
503-245-6262
Fax Number
503-245-6263
person
Provider Business Mailing Address Details
Address
10101 Sw Barbur Blvd Ste 101
City
State
Zip
97219-5915
Phone Number
503-245-6262
Fax Number
503-245-6263
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17-11-20 (Oregon)
Definition
Definition to come...
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