Individual
JOSHUA J VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-1
Contact information
Practice address
21440 SE STARK ST, GRESHAM, OR 97030-2024
(971) 703-4623
Mailing address
2160 NW FLANDERS ST, PORTLAND, OR 97210-3406
(971) 438-8793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-03-10657
OR
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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