Provider Demographics
NPI:1467869313
Name:VOGEL, ADAM (LPC, CADC I)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:VOGEL
Suffix:
Gender:M
Credentials:LPC, CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 SW HIGHLAND AVE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2558
Mailing Address - Country:US
Mailing Address - Phone:541-923-2654
Mailing Address - Fax:
Practice Address - Street 1:1655 SW HIGHLAND AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2558
Practice Address - Country:US
Practice Address - Phone:541-923-2654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14-10-12101YA0400X
ORC5451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)