Individual
MR. GREGORY JOHN JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 489-2213
(503) 661-4959
Mailing address
3215 NE 40TH AVE, PORTLAND, OR 97212-2813
(503) 288-2452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
97-10-34
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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