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: CAROL JEAN GRAVEN CADC1

MEDICARE: CAROL JEAN GRAVEN CADC1
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
1101YA0400XAddiction (Substance Use Disorder) Counselor12-03-23OR

General Provider Information

NPI Number : 1598175317
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL JEAN GRAVEN CADC1
Provider Business Mailing Address
First Line : 3945 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-5241
Country : US
Telephone Number : 503-839-9462
Fax Number :
Provider Business Practice Location Address
First Line : 3945 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-5241
Country : US
Telephone Number : 503-839-9462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2014
Last Update Date : 05/01/2014

Similar Medicare Providers

1922147545 — MS. ERIN BRADSHAW LCSW
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 971-235-2613
Practice Fax: 208-666-1642
1710011911 — MS. SHERI BLUE LCSW,CADC1,LMT
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-917-3226
Practice Fax: 503-386-3016
1184917783 — TERAS INTERVENTIONS AND COUNSELING
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-719-5250
Practice Fax:
1295164432 — PHILLIP A BROYLES CADCII
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-719-5250
Practice Fax: 503-715-5672
1255750659 — SHERI BLUE, LLC
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-917-3226
Practice Fax: 503-386-3016
1619519576 — ERIKA LYNN BUDD CADCII, QMHA
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-719-5250
Practice Fax:

Directions to “ CAROL JEAN GRAVEN CADC1” 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.