Individual
JOHN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
(503) 244-4500
(503) 244-2008
Mailing address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
(503) 244-4500
(503) 244-2008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-12-22
OR
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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