Individual
MR. ROBERT JOE TSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C A D C 1
Contact information
Practice address
726 W BURNSIDE ST, PORTLAND, OR 97209-3515
(503) 944-4410
(503) 295-3777
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 241-7419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05-11-67
OR
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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