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Mr. Christopher Kenji Kubota
Addiction (Substance Use Disorder) Counselor in Tigard, Oregon
NPI 1073261921

Christopher Kenji Kubota is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Christopher Kenji Kubota practices in Tigard, OR. The NPI Number for Christopher Kenji Kubota is 1073261921 and holds a License No. (Oregon).

The current practice location address for Christopher Kenji Kubota is 11970 Sw Greenburg Rd, Tigard, OR and can be reached out via phone at 503-624-8304.

Location: 11970 Sw Greenburg Rd, Tigard, OR, 97214-1328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073261921
Provider Name
Christopher Kenji Kubota
Credential
Provider Entity Type
Individual
Gender
Male
Address
11970 Sw Greenburg Rd, Tigard, OR, 97214-1328
Phone Number
503-624-8304
Fax Number
Provider Enumeration Date
03/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11970 Sw Greenburg Rd
City
Tigard
State
Oregon
Zip
97223-6453
Phone Number
503-624-8304
Fax Number
person
Provider Business Mailing Address Details
Address
11970 Sw Greenburg Rd
City
Tigard
State
Oregon
Zip
97223-6453
Phone Number
503-624-8304
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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