Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David John Beaty, CADCI

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205710563

David John Beaty, CADCI is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3550 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 249-3434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 26-07-11992 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205710563
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCI
Sole proprietorYes
NPI enumeratedJuly 31, 2025
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address18040 Nw Chemeketa Ln, Portland, OR 97229-1779

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