Individual
JON STANLEY SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12670 NW BARNES RD, PORTLAND, OR 97229-9001
(503) 474-0404
Mailing address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(503) 747-0404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-1092
OR
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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