Molly C Bair, CADCII,
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gladstone, OR
NPI 1285798660 · NPPES record last updated Jun 11, 2008
Key facts
- NPI
- 1285798660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 04-R-13 (OR)
- Practice address
- 880 82ND Dr
Gladstone, OR 97027-1803 - Phone
- (503) 659-5515
- Fax
- (503) 659-1994
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-R-13 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 04-R-13 | OR | Yes |
Addresses
Primary practice location
880 82ND Dr
Gladstone, OR 97027-1803
Mailing address
PO Box 82819
Portland, OR 97282-0819
Phone (503) 233-5405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164936 | Medicaid | OR |
Other providers in Gladstone, OR
- Julia A. Arambul
- Shelley Atkeson
- Aura Integrative Health LLC
- Brenda Backhaus
- Heather Baeckel
- Wendy Jo Ballard-Turner
- Gregory Thomas Bangs
- Analiese Bannister
- Sarah Baump
- Joscelyn Beebe
All providers in Gladstone, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.