person
Mr. Stephen Russell Richardson I, AAEE
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1952619249

Stephen Russell Richardson I is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Stephen Russell Richardson I practices in Portland, OR and has the professional credentials of AAEE. The NPI Number for Stephen Russell Richardson I is 1952619249 and holds a License No. (Oregon).

The current practice location address for Stephen Russell Richardson I is 1312 Sw Washington St, Portland, OR and can be reached out via phone at 503-535-1150 and via fax at 503-535-1191.

Location: 1312 Sw Washington St, Portland, OR, 97209-1159
person
Provider Profile Details
NPI Number
1952619249
Provider Name
Stephen Russell Richardson I
Credential
AAEE
Provider Entity Type
Individual
Gender
Male
Address
1312 Sw Washington St, Portland, OR, 97209-1159
Phone Number
503-535-1150
Fax Number
503-535-1191
Provider Enumeration Date
09/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1312 Sw Washington St
City
State
Zip
97205-2327
Phone Number
503-535-1150
Fax Number
503-535-1191
person
Provider Business Mailing Address Details
Address
1312 Sw Washington St
City
State
Zip
97205-2327
Phone Number
503-535-1150
Fax Number
503-535-1191
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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