DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHRISTIE ODOM

MEDICARE: CHRISTIE ODOM
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
1101YM0800XMental Health Counselor24-QMHA-I-004365OR
2101YA0400XAddiction (Substance Use Disorder) Counselor24-11-20507OR
3175T00000XPeer Specialist

General Provider Information

NPI Number : 1538836184
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE ODOM
Provider Business Mailing Address
First Line : 3580 SE 82ND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97266-2902
Country : US
Telephone Number : 971-339-9240
Fax Number : 503-983-9899
Provider Business Practice Location Address
First Line : 3580 SE 82ND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97266-2902
Country : US
Telephone Number : 971-339-9240
Fax Number : 503-983-9899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2021
Last Update Date : 06/01/2026

Similar Medicare Providers

1609934124 — ADAM HO
Practice Location Address:
3580 SE 82ND AVE
PORTLAND, OR
97266-2902
Practice Phone: 503-777-0761
Practice Fax:
1770778227 — DEANNA L LEE D.M.D.
Practice Location Address:
3580 SE 82ND AVE
PORTLAND, OR
97266-2902
Practice Phone: 503-777-0761
Practice Fax: 503-777-0393
1619149671 — MS. NOUSHIN SHAKIBA DMD
Practice Location Address:
3580 SE 82ND AVE
PORTLAND, OR
97266-2902
Practice Phone: 503-777-0761
Practice Fax: 503-777-0393
1285896399 — DEANNA SHERRIE WASHINGTON-SCHOPPERT
Practice Location Address:
3580 SE 82ND AVE
PORTLAND, OR
97266-2902
Practice Phone: 971-339-9240
Practice Fax:
1013273861 — ANDREA GOUGH-GOLDMAN MD
Practice Location Address:
3580 SE 82ND AVE
PORTLAND, OR
97266-2902
Practice Phone: 971-339-9240
Practice Fax:
1326408394 — JENNIFER BLAIN CADC II
Practice Location Address:
3580 SE 82ND AVE
PORTLAND, OR
97266-2902
Practice Phone: 971-339-9240
Practice Fax:

Directions to “ CHRISTIE ODOM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.