Provider Demographics
NPI:1164810628
Name:HOWDEN, DORINDA (CADCI, QMHA)
Entity Type:Individual
Prefix:
First Name:DORINDA
Middle Name:
Last Name:HOWDEN
Suffix:
Gender:F
Credentials:CADCI, QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 NE 62ND ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-1268
Mailing Address - Country:US
Mailing Address - Phone:503-830-2005
Mailing Address - Fax:
Practice Address - Street 1:529 NE 62ND ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-1268
Practice Address - Country:US
Practice Address - Phone:503-830-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
OR13-09-28101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)