Individual provider · Type 1 NPI

Brent Johnston Gordon

Addiction (Substance Use Disorder) Counselor · Astoria, OR

NPI number 1972338515 Active

Practice location

115 W Bond St
Astoria, OR 97103-6009

Mailing address

65 N Highway 101 Ste 204
Warrenton, OR 97146-9371

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1972338515

Brent Johnston Gordon's National Provider Identifier is 1972338515, issued on Sep 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Astoria, OR. The record was last updated on Sep 4, 2024.