Provider Demographics
NPI:1700298932
Name:MILANESE, STEVEN JAMES (AAS, CRM, CADCI)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:JAMES
Last Name:MILANESE
Suffix:
Gender:M
Credentials:AAS, CRM, CADCI
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3007
Mailing Address - Street 2:DE PAUL TREATMENT CENTERS
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208
Mailing Address - Country:US
Mailing Address - Phone:503-693-3104
Mailing Address - Fax:503-693-6474
Practice Address - Street 1:205 SE 3RD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4093
Practice Address - Country:US
Practice Address - Phone:503-693-3104
Practice Address - Fax:503-693-6474
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)