NPI Profile for ADAM D HALVORSEN in VANCOUVER, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine |
| NPI # | 1144580432 |
|
| Status | Active | |
| Credentials | MACP, LMHC, CDP, CPS | |
| Entity | Individual | |
| Enumeration date | 05/21/2012 | |
| Last updated | 07/09/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ADAM D HALVORSEN
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