NPI 1699445361 · live from the CMS NPI Registry
Allagash Addiction Associates PLLC
Family Medicine, Addiction Medicine in Portland, ME. National Provider Identifier 1699445361, active.
NPI record
| NPI | 1699445361 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 254 Commercial St Ste 245, Portland, ME 04101 |
| Practice phone | 207-558-6124 |
| Enumerated | September 15, 2021 |
| Last updated | September 15, 2021 |
| Authorized official | Alane O'Connor, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Family Medicine, Addiction Medicine primary | 207QA0401X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.