person
John Raven
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1609069921

John Raven is an Addiction (Substance Use Disorder) Counselor based in Happy Valley, OR and is specialized in Addiction (Substance Use Disorder). John Raven practices in Portland, OR. The NPI Number for John Raven is 1609069921 and holds a License No. C3475 (Oregon).

The current practice location address for John Raven is 2505 Se 11Th Ave Ste 332, Portland, OR and can be reached out via phone at 503-206-9696.

Location: 2505 Se 11Th Ave Ste 332, Portland, OR, 97086-7435
person
Provider Profile Details
NPI Number
1609069921
Provider Name
John Raven
Credential
Provider Entity Type
Individual
Gender
Male
Address
2505 Se 11Th Ave Ste 332, Portland, OR, 97086-7435
Phone Number
503-206-9696
Fax Number
Provider Enumeration Date
08/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2505 Se 11Th Ave Ste 332
City
State
Zip
97202-1063
Phone Number
503-206-9696
Fax Number
person
Provider Business Mailing Address Details
Address
2505 Se 11Th Ave Ste 332
City
State
Zip
97202-1063
Phone Number
503-206-9696
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10-12-70 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3475 (Oregon)
Definition
Definition to come...
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