Individual provider · Type 1 NPI

John Gross, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1588094965 Active

Practice location

Tsnw 948 NE 102nd St., Suite 101
Portland, OR 97220

Call (503) 257-0381 Map

Mailing address

984 NE 102nd St, Suite 101
Portland, OR 97220

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X03-03-17 (OR)

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

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About NPI 1588094965

John Gross, CADC I's National Provider Identifier is 1588094965, issued on Nov 20, 2013. 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 Nov 20, 2013.