person
Michael David Razavi, MPH,CADCI,PRC,
Peer Specialist in Portland, Oregon
NPI 1760850549

Michael David Razavi is a Peer Specialist based in Portland, OR. Michael David Razavi practices in Portland, OR and has the professional credentials of MPH,CADCI,PRC,. The NPI Number for Michael David Razavi is 1760850549 and holds a License No. 11-09-48 (Oregon).

The current practice location address for Michael David Razavi is 2054 N Vancouver Ave, Portland, OR and can be reached out via phone at 503-231-8164.

Location: 2054 N Vancouver Ave, Portland, OR, 97227-1917
person
Provider Profile Details
NPI Number
1760850549
Provider Name
Michael David Razavi
Credential
MPH,CADCI,PRC,
Provider Entity Type
Individual
Gender
Male
Address
2054 N Vancouver Ave, Portland, OR, 97227-1917
Phone Number
503-231-8164
Fax Number
Provider Enumeration Date
09/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2054 N Vancouver Ave
City
State
Zip
97227-1917
Phone Number
503-231-8164
Fax Number
person
Provider Business Mailing Address Details
Address
2054 N Vancouver Ave
City
State
Zip
97227-1917
Phone Number
503-231-8164
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15-PRC-004 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
11-09-48 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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