Individual
MR. GRIER CUNDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCACII, CADCIII
Contact information
Practice address
811 NW 20TH AVE STE 103, PORTLAND, OR 97209-1445
(503) 630-4703
Mailing address
PO BOX 1103, ESTACADA, OR 97023-1103
(503) 630-4703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
94-10-83
OR
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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