IndividualActive
David Poole, CADCI PROVISIONAL
NPI 1699169946 · Addiction (Substance Use Disorder) Counselor · Portland, OR
Provider details
- NPI number
- 1699169946
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADCI PROVISIONAL
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1030 Ne Couch St.
Portland, OR 97232
Phone: (503) 239-8400
Fax: (503) 239-8407
Approximate (ZIP-level) locationGet directions
Mailing address
1027 E. Burnside St.
Portland, OR 97214
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2015-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.