Individual
MR. JAMES LEE BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC IU
Contact information
Practice address
870 SE 82ND DR., BLDG. C, GLADSTONE, OR 97027
(503) 659-5515
(503) 594-8193
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5409
(503) 233-2694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-03-52U
OR
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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