Individual
JOHN ALCANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6987 RIDGETOP DR NE, KEIZER, OR 97303-7880
(503) 238-0769
Mailing address
6987 RIDGETOP DR NE, KEIZER, OR 97303-7880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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