Individual provider · Type 1 NPI

Jonathan Irving

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1396194650 Active

Practice location

6601 NE 78th Ct Ste A3
Portland, OR 97218-2823

Call (503) 252-3949 Map

Fax (503) 252-4027

Mailing address

111 Barker Ave
Oregon City, OR 97045-3421

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 1396194650

Jonathan Irving's National Provider Identifier is 1396194650, issued on Jun 8, 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 Jun 8, 2016.