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NPI Code Detail

MEDICARE: ERIKA LYNN BUDD CADCII, QMHA

MEDICARE: ERIKA LYNN BUDD CADCII, QMHA
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) Counselor190601OR

General Provider Information

NPI Number : 1619519576
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA LYNN BUDD CADCII, QMHA
Provider Business Mailing Address
First Line : 3228 SW BEAVERTON HILLSDALE HWY APT 17
Second Line :
City : PORTLAND
State : OR
Zip : 97239-1193
Country : US
Telephone Number : 503-805-1695
Fax Number : 503-715-5672
Provider Business Practice Location Address
First Line : 3945 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-5241
Country : US
Telephone Number : 503-719-5250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2019
Last Update Date : 09/24/2025

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