Individual
JOSEPH JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADCI, CRM
Contact information
Practice address
704 MAIN ST STE 302, OREGON CITY, OR 97045-1842
(503) 560-0624
(503) 723-6653
Mailing address
10315 NE FREMONT ST APT 48, PORTLAND, OR 97220-3470
(503) 560-0624
(503) 723-6653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-04-09
OR
175T00000X
Peer Specialist
13-CRM-042
OR
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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