Individual
JOSEPH K CHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-II
Contact information
Practice address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(866) 231-3007
Mailing address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-09-19
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-07-20186
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-09-19
MHACBO
OR
01
—
22-07-20186
MHACBO
OR
Enumeration date
08/16/2020
Last updated
07/30/2022
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