Charles L Wanke CADC I

  • NPI 1609390020
According to our database, the NPI number for Charles L Wanke CADC I is 1609390020 and activated since 6 years ago. Charles L Wanke CADC I is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 17645 Nw Saint Helens Rd, Portland, OR 97231. You can also contact Charles L Wanke CADC I via telephone number is (503) 621-1069. Provider NPI information was last updated on 03/31/2021.

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Overview of Charles L Wanke CADC I

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/27/2017
  • Last updated: 03/31/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 18-03-26
  • License State: OR

Provider Mailing Address

  • Address: 1776 Sw Madison St
    Portland, OR 97205
  • Phone: 503-224-1044
  • Fax: 503-621-2235

Provider Practice Location

  • Address: 17645 Nw Saint Helens Rd
    Portland, OR 97231
  • Phone: 503-621-1069
  • Fax: 503-621-0200

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 18-03-26
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 500729602
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Charles L Wanke CADC I?
  • A: The npi number for Charles L Wanke CADC I is 1609390020.
  • Q: What are Charles L Wanke CADC I's specialties?
  • A: Charles L Wanke CADC I's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Charles L Wanke CADC I?
  • A: The medical license number for Charles L Wanke CADC I is 18-03-26 and issued in OR in USA.
  • Q: Where is Charles L Wanke CADC I practice location?
  • A: Charles L Wanke CADC I is practicing at 17645 Nw Saint Helens Rd, Portland, OR 97231.
  • Q: How to contact Charles L Wanke CADC I?
  • A: You can contact Charles L Wanke CADC I via 503-621-1069.
Medicare Specialty
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Addiction Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.