IndividualActive
Charles Wanke, CRM
NPI 1609390020 · Addiction (Substance Use Disorder) Counselor · Aloha, OR
Provider details
- NPI number
- 1609390020
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CRM
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
4585 Sw 185th Ave
Aloha, OR 97078-1557
Phone: (503) 591-9280
Approximate (ZIP-level) locationGet directions
Mailing address
4585 Sw 185th Ave
Aloha, OR 97078-1557
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.