DOUGLAS K O'DELL M.A. NPI 1720194392

NPI Information

  • NPI: 1720194392
  • Provider Name: DOUGLAS K O'DELL, M.A.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 10163 SE SUNNYSIDE RD STE 490
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 513-4413

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NPI Details

Douglas K O'dell, M.A. is an addiction (substance use disorder) counselor in Clackamas, OR. Douglas K O'dell, M.A. NPI is 1720194392. 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:

10163 SE SUNNYSIDE RD STE 490
CLACKAMAS, OR
ZIP 97015-720
Phone: (503) 513-4413

The enumeration date for this NPI number is 8/23/2006 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
1101YA0400XCounselorAddiction (Substance Use Disorder)OR 97-04-47OREGONYes

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: 11/21/2025

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