David John Alrick, BS, CAS, CADC II

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI 1851635486 · NPPES record last updated Oct 3, 2018

Key facts

NPI
1851635486
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
97-04-71 (OR)
Practice address
1003 E Main St Ste 130
Medford, OR 97504-7140
Phone
(541) 326-4905
Fax
(541) 608-2888
NPI assigned
Nov 20, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Addictions Recovery Center, Inc. Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 97-04-71 OR Yes

Addresses

Primary practice location

1003 E Main St Ste 130
Medford, OR 97504-7140

Mailing address

1003 E Main St Ste 104
Medford, OR 97504-7140
Phone (541) 326-4905

Other providers in Medford, OR

All providers in Medford, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.