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Jarren James Troy Anderson

Counselor, Addiction (Substance Use Disorder) in Gresham, OR. Individual provider (NPI-1).

NPI number1316774946
StatusActive
Last updated in NPPESSep 17, 2024

Details

NPI
1316774946
Entity type
Individual (NPI-1)
Name
Mr. Jarren James Troy Anderson
Sex
Male
Sole proprietor
No
Enumeration date
Sep 17, 2024
Certification date
Sep 17, 2024
Last updated
Sep 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

21440 Se Stark St
Gresham, OR 97030-2024

Phone 971-703-4623 · Fax 971-252-1955

Mailing address

11010 Se Division St Ste 300
Portland, OR 97266-6401

Phone 971-442-0044 · Fax 971-252-1955

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