Douglas K O'Dell, M.A.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

OR 97-04-47 Issued in OR

Practice address

10163 SE Sunnyside Rd Ste 490
Clackamas, OR 97015-5720

Phone

(503) 513-4413

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720194392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CORNELL AVE",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970274607",
            "telephone_number": "503-657-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10163 SE SUNNYSIDE RD STE 490",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155720",
            "telephone_number": "503-513-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "OR 97-04-47",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Patrick Nunez, M.D.
• Wayne Nussbaum, CRNA
• NW Equipment Exchange
• NW Family Wellness Center, LLC
• Zenna Nwokoma, APRN-NP
• Erin O'Halloran, LMFT
• James Dennis O'Hern, M.S.W.
• Sara L O'Leary, RD
• Leslie A. O'Meara, M.D.
• Charles Wesley O'Neal, MD

• Addiction (Substance Use Disorder) Counselor in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.