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NPI Code Detail

MEDICARE: DAWN S M DURAN-CONRAD CADC I/PSS/QMHA-II

MEDICARE: DAWN S M DURAN-CONRAD CADC I/PSS/QMHA-II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist112742OR
2101YM0800XMental Health Counselor24-QMHA-II-000211OR
3101YA0400XAddiction (Substance Use Disorder) Counselor21-09-1241OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154089324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN S M DURAN-CONRAD CADC I/PSS/QMHA-II
Provider Business Mailing Address
First Line : 211 SE CARUTHERS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-4502
Country : US
Telephone Number : 503-224-1044
Fax Number : 971-260-0355
Provider Business Practice Location Address
First Line : 211 SE CARUTHERS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-4502
Country : US
Telephone Number : 503-224-1044
Fax Number : 971-260-0355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2021
Last Update Date : 10/29/2025

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Directions to “ DAWN S M DURAN-CONRAD CADC I/PSS/QMHA-II” Practice Location

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