Individual provider · Type 1 NPI

John Thomas Bristol, CADC-I, CRM

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1174080428 Active

Practice location

12670 NW Barnes Rd Ste 200
Portland, OR 97229-9001

Call (971) 232-3850 Map

Mailing address

PO Box 82819
Portland, OR 97282-0819

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 1174080428

John Thomas Bristol, CADC-I, CRM's National Provider Identifier is 1174080428, issued on Feb 22, 2019. 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 Mar 3, 2022.