Individual provider · Type 1 NPI

John Raven

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1609069921 Active

Practice location

2505 SE 11th Ave Ste 332
Portland, OR 97202-1063

Call (503) 206-9696 Map

Mailing address

10951 SE Stevens Way
Happy Valley, OR 97086-7435

Other practice locations

  • 9800 SE Sunnyside Rd, Clackamas, OR 97015-9750 · (503) 249-3434

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC3475 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10-12-70 (OR)

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

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About NPI 1609069921

John Raven's National Provider Identifier is 1609069921, issued on Aug 21, 2007. 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 Dec 23, 2021.