Individual
MR. JEFFREY K BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II/QMHA-I
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
(503) 231-1654
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(971) 217-9008
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25-03-20553
OR
101YM0800X
Mental Health Counselor
22-QMHA-I-003506
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500799394
—
OR
05
—
500831450
—
OR
Enumeration date
06/15/2021
Last updated
04/11/2025
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