Individual
CHANDLER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.S.S.
Contact information
Practice address
1050 HIGH ST, EUGENE, OR 97401-3240
(541) 762-4300
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2803
OR
175T00000X
Peer Specialist
THW000002993
OR
Other
Enumeration date
09/14/2018
Last updated
06/05/2024
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