person
Mr. Nathaniel Richard Conklin, QMHA,CLINICALCOUNS
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1811261506

Nathaniel Richard Conklin is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Nathaniel Richard Conklin practices in Portland, OR and has the professional credentials of QMHA,CLINICALCOUNS. The NPI Number for Nathaniel Richard Conklin is 1811261506 and holds a License No. (Oregon).

The current practice location address for Nathaniel Richard Conklin is 847 Ne 19Th Ave Ste 100, Portland, OR and can be reached out via phone at 503-238-0769 and via fax at 503-238-0769.

Location: 847 Ne 19Th Ave Ste 100, Portland, OR, 97302-3111
person
Provider Profile Details
NPI Number
1811261506
Provider Name
Nathaniel Richard Conklin
Credential
QMHA,CLINICALCOUNS
Provider Entity Type
Individual
Gender
Male
Address
847 Ne 19Th Ave Ste 100, Portland, OR, 97302-3111
Phone Number
503-238-0769
Fax Number
503-238-0769
Provider Enumeration Date
02/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
503-238-0769
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
503-238-0769
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CADC II, 13-12-54 (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.
CADCII: 13-12-54 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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