BRUCE A. PRESTON CADCII QMHA NPI 1083768592

NPI Information

NPI: 1083768592
Provider Name: BRUCE A. PRESTON, CADCII QMHA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
9268 SE CLINTON ST
PORTLAND, OR
ZIP 97266
Phone: (503) 872-0480
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Bruce A. Preston, CADCII QMHA is an addiction (substance use disorder) counselor in Portland, OR. Bruce A. Preston, CADCII QMHA NPI is 1083768592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9268 SE CLINTON ST
PORTLAND, OR
ZIP 97266-456
Phone: (503) 872-0480
Fax: (503) 872-0481

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	171M00000X	Case Manager/Care Coordinator				X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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