Individual provider · Type 1 NPI

Anthony Jordan, CADC II

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1639596281 Active

Practice location

10564 SE Washington St
Portland, OR 97216-2809

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X99-11-27 (OR)

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

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About NPI 1639596281

Anthony Jordan, CADC II's National Provider Identifier is 1639596281, issued on Mar 20, 2014. 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 Sep 26, 2014.