DONDRAE FAIR SR., CRM

Counselor

Active Individual
NPI: 1174925366

Practice Address

3910 SE STARK ST
Portland, OR 97214

Phone: (503) 764-7445

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes 14.CRM.008 (OR)
Peer Specialist 175T00000X No -

Frequently Asked Questions

NPI 1174925366 is the National Provider Identifier for DONDRAE FAIR SR., CRM, a Counselor provider located in Portland, OR. This NPI was enumerated on September 19, 2014.
DONDRAE FAIR SR., CRM practices at 3910 SE STARK ST, Portland, OR 97214.

Quick Facts

NPI
1174925366
Type
Individual
Enumerated
Sep 19, 2014
Last Updated
Oct 22, 2015

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