Individual
JOSEPH MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
PO BOX 3007, PORTLAND, OR 97208-3007
(503) 535-1151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
15-CRM-116
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-CRM-116
ACCBO
OR
Enumeration date
07/16/2014
Last updated
02/24/2016
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