Individual
IAN TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 MAIN ST STE 200, OREGON CITY, OR 97045-1869
(971) 386-3408
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0756
(503) 544-2004
(503) 208-2596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
03/07/2018
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