Individual
GREGORY PIGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6025 SE BELMONT ST, PORTLAND, OR 97215-1927
(720) 935-7304
Mailing address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1646
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/16/2022
Last updated
12/15/2022
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