Individual
JUSTIN D BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGS, CADC I R
Contact information
Practice address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(971) 533-1369
Mailing address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(971) 533-1369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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