Individual provider · Type 1 NPI

Jarren James Troy Anderson

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1316774946 Active

Practice location

21440 SE Stark St
Gresham, OR 97030-2024

Call (971) 703-4623 Map

Fax (971) 252-1955

Mailing address

11010 SE Division St Ste 300
Portland, OR 97266-6401

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 1316774946

Jarren James Troy Anderson's National Provider Identifier is 1316774946, issued on Sep 17, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Sep 17, 2024.