Individual provider · Type 1 NPI

Anthony Michell Lathan, CADC-1/QMHP

Addiction (Substance Use Disorder) Counselor · Tigard, OR

NPI number 1316603053 Active

Practice location

10763 SW Greenburg Rd
Tigard, OR 97223-5492

Call (503) 684-8159 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24-07-11201 (OR)

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

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About NPI 1316603053

Anthony Michell Lathan, CADC-1/QMHP's National Provider Identifier is 1316603053, issued on Nov 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tigard, OR. The record was last updated on Nov 25, 2025.