Provider Demographics
NPI:1982186078
Name:MCCHESNEY, TROY AARON (CADC CANDIDATE, CRM)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:AARON
Last Name:MCCHESNEY
Suffix:
Gender:M
Credentials:CADC CANDIDATE, CRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17050 GURNEE AVE
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:OR
Mailing Address - Zip Code:97027-1216
Mailing Address - Country:US
Mailing Address - Phone:503-660-6819
Mailing Address - Fax:
Practice Address - Street 1:1306 NW HOYT ST STE 307
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2786
Practice Address - Country:US
Practice Address - Phone:503-660-6819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT-18-208101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)