Individual
TODD GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
4355 SE 29TH AVE, PORTLAND, OR 97202-3529
(503) 288-8066
Mailing address
4355 SE 29TH AVE, PORTLAND, OR 97202-3529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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