Individual provider · Type 1 NPI

John Goforth, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1659790111 Active

Practice location

10101 SW Barbur Blvd Ste 102
Portland, OR 97219-5915

Call (503) 245-6262 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13-P-01 (OR)

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

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About NPI 1659790111

John Goforth, CADC I's National Provider Identifier is 1659790111, issued on Apr 14, 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 Apr 14, 2014.