| Pacific Alcohol & Drug Counseling, Inc. | |
|
157 Se Baseline St Suite A Hillsboro OR 97123 | |
| (503) 640-0110 | |
| (503) 640-0107 |
| Full Name | Pacific Alcohol & Drug Counseling, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 157 Se Baseline St, Hillsboro, Oregon |
| Authorized Official Name and Position | Jennifer A Wallenstein (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 5036400110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Alcohol & Drug Counseling, Inc. 157 Se Baseline St Suite A Hillsboro OR 97123 Ph: (503) 640-0110 | Pacific Alcohol & Drug Counseling, Inc. 157 Se Baseline St Suite A Hillsboro OR 97123 Ph: (503) 640-0110 |
| NPI Number | 1578840849 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578840849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | OAR4150510000 (Oregon) | Secondary |
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