Individual
ANTHONY DION JARRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I/CRM/PSS/QMHAI
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(971) 261-0544
(971) 245-3043
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18-CRM-206
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
20-06-24
OR
101YM0800X
Mental Health Counselor
25-QMHA-I-005159
OR
175T00000X
Peer Specialist
Primary
3210
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500768570
—
OR
05
—
500770905
—
OR
Enumeration date
08/13/2019
Last updated
08/20/2025
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