Individual
JASON W VERDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
(503) 239-8429
Mailing address
605 WATERCREST RD, FOREST GROVE, OR 97116-1149
(503) 336-0638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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