Individual provider · Type 1 NPI

John Jennings, CADC II

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1770784274 Active

Practice location

2415 SE 43rd Ave
Portland, OR 97206-1600

Call (503) 230-9654 Map

Mailing address

2425 SW 171st Pl
Beaverton, OR 97006-4300

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11-R-10 (OR)

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

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About NPI 1770784274

John Jennings, CADC II's National Provider Identifier is 1770784274, issued on May 30, 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 May 31, 2011.