Amanda Cantal in Portland - Addiction (substance Use Disorder)
Amanda Cantal - NPI 1831373844
Amanda Cantal is a Addiction (substance Use Disorder) in Portland, Oregon. Amanda Cantal practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Amanda Cantal is 1831373844. The last update date is 2011-04-01.
Amanda Cantal's current location address is 12636 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5032534600 and fax number 5032534609. The mailing address for Amanda Cantal is 12636 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Cantal |
|---|---|
| Address | 12636 Se Stark St, Portland, Oregon |
| Phone Number | 5032534600 |
| Fax Number | 5032534609 |
| Sole Proprietor | N |
| Credentials | MA, LPC, C |
NPI Number Detail
| NPI Number | 1831373844 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2011-04-01 |
Provider Mailing Address Detail
| Address | 12636 Se Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972331058 |
| Phone Number | 5032534600 |
| Fax Number | 5032534609 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 2007-09-03 0 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 164936 | OR | -- | |
| R0000WDBCH | OR | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Amanda Cantal by the Centers for Medicare & Medicaid Services?
The Amanda Cantal has been assigned the NPI (National Provider Identifier) 1831373844. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Amanda Cantal?
The Amanda Cantal is situated at 12636 Se Stark St, in the city of Portland, state of OR, with the zip code 972331058.
What is Amanda Cantal's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amanda Cantal is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did Amanda Cantal receive its 1831373844 assignment from the Centers for Medicare & Medicaid Services?
The Amanda Cantal was assigned its 1831373844 on 2007-12-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Amanda Cantal most recently updated or revised?
The information pertaining to Amanda Cantal, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-01.