Individual
LAWRENCE CHRISTOPHER GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CADC I
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
05/21/2019
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