Individual
MR. DAVID A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED C.D.
Contact information
Practice address
435 NE 78TH AVE, PORTLAND, OR 97213-6340
(503) 975-5844
Mailing address
8705 N WILLAMETTE BLVD, PORTLAND, OR 97203-5339
(503) 381-5881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
95-10-87
OR
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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