Individual provider · Type 1 NPI

John Vervynck

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1083073019 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083073019

John Vervynck's National Provider Identifier is 1083073019, issued on Feb 18, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2016.