Individual
MR. JEFFREY J THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
1814 NE 101ST AVE, PORTLAND, OR 97220-3848
(541) 232-1216
Mailing address
1814 NE 101ST AVE, PORTLAND, OR 97220-3848
(541) 232-1216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14-08-18
OR
Other
Enumeration date
06/10/2011
Last updated
11/25/2014
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