Individual
JOHN MICHAEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
16323 SE STARK ST STE 102, PORTLAND, OR 97233-3942
(503) 265-8922
Mailing address
16323 SE STARK ST STE 102, PORTLAND, OR 97233-3942
(503) 265-8922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-6306
OR
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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