David Lee Eubanks in Portland - Addiction (substance Use Disorder)

David Lee Eubanks - NPI 1780738377

David Lee Eubanks is a Addiction (substance Use Disorder) in Portland, Oregon. David Lee Eubanks practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for David Lee Eubanks is 1780738377. The last update date is 2007-10-09.

David Lee Eubanks's current location address is 11014 Ne Wygant St, Portland, Oregon. You can contact this provider via phone number 5035525113. The mailing address for David Lee Eubanks is 11014 Ne Wygant St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name David Lee Eubanks
Address 11014 Ne Wygant St, Portland, Oregon
Phone Number 5035525113
Fax Number
Sole Proprietor Y
Credentials QMHA

NPI Number Detail

NPI Number 1780738377
Provider Enumeration Date 2007-01-22
Last Updated Date 2007-10-09

Provider Mailing Address Detail

Address 11014 Ne Wygant St
City Portland
State Oregon (OR)
Post Code 972202563
Phone Number 5035525113
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about David Lee Eubanks

What is the unique identification code assigned to David Lee Eubanks by the Centers for Medicare & Medicaid Services?

The David Lee Eubanks has been issued the NPI (National Provider Identifier) 1780738377. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of David Lee Eubanks?

The David Lee Eubanks is physically situated at 11014 Ne Wygant St, in the city of Portland, state of OR, with the postal code 972202563.

What is David Lee Eubanks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David Lee Eubanks's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780738377 to David Lee Eubanks?

The David Lee Eubanks received its 1780738377 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.

As of what date was the information pertaining to David Lee Eubanks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David Lee Eubanks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-09.

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