Individual
JOHN THOMAS BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-I, CRM
Contact information
Practice address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(971) 232-3850
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
03/03/2022
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