person
Adrian Diya Burris
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1770297129

Adrian Diya Burris is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Adrian Diya Burris practices in Portland, OR. The NPI Number for Adrian Diya Burris is 1770297129 and holds a License No. 22-CRM-II-0043 (Oregon).

The current practice location address for Adrian Diya Burris is 2318 Ne Mlk Jr Blvd, Portland, OR and can be reached out via phone at 503-335-8611.

Location: 2318 Ne Mlk Jr Blvd, Portland, OR, 97214-1200
person
Provider Profile Details
NPI Number
1770297129
Provider Name
Adrian Diya Burris
Credential
Provider Entity Type
Individual
Gender
Male
Address
2318 Ne Mlk Jr Blvd, Portland, OR, 97214-1200
Phone Number
503-335-8611
Fax Number
Provider Enumeration Date
01/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2318 Ne Mlk Jr Blvd
City
State
Zip
97212-3715
Phone Number
503-335-8611
Fax Number
person
Provider Business Mailing Address Details
Address
2318 Ne Mlk Jr Blvd
City
State
Zip
97212-3715
Phone Number
503-335-8611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-21-907 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
22-CRM-II-0043 (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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