Individual provider · Type 1 NPI

Jonathan Randleman

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1508771098 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 687-1110 Map

Mailing address

PO Box 8549
Coburg, OR 97408-1313

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 1508771098

Jonathan Randleman's National Provider Identifier is 1508771098, issued on Aug 18, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Aug 18, 2026.