person
Leroy G Bigboy, CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1669451332

Leroy G Bigboy is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Leroy G Bigboy practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Leroy G Bigboy is 1669451332 and holds a License No. 01-P-03 (Oregon).

The current practice location address for Leroy G Bigboy is 1631 Sw Columbia St, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-231-1654. You can also correspond with Leroy G Bigboy through the mailing address at 1776 SW MADISON ST, PORTLAND, OR - 97205-1715 (mailing address contact number: 971-386-2278).

Location: 1631 Sw Columbia St, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1669451332
Provider Name
Leroy G Bigboy
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
1631 Sw Columbia St, Portland, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-231-1654
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500656423 05 OR
institution
Provider Business Practice Location Address Details
Address
1631 Sw Columbia St
City
State
Zip
97201-6025
Phone Number
503-231-2641
Fax Number
503-231-1654
person
Provider Business Mailing Address Details
Address
1631 Sw Columbia St
City
State
Zip
97201-6025
Phone Number
503-231-2641
Fax Number
503-231-1654
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
01-P-03 (Oregon)
Definition
Definition to come...
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