Justin D Buchanan, AGS, CADC-II, QMHA
Counselor, Addiction (Substance Use Disorder) in Gresham, OR. Individual provider (NPI-1).
NPI number1639826266
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1639826266
- Entity type
- Individual (NPI-1)
- Name
- Justin D Buchanan
- Credential
- AGS, CADC-II, QMHA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2022
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 25-01-20521 | OR | Yes |
| 101Y00000X | Counselor | 25-QMHA-R-7810 | OR |
Practice location
1217 Ne Burnside Rd Ste 701Gresham, OR 97030-5770
Phone 971-533-1369 · Fax 503-771-2436
Mailing address
10117 Se Sunnyside Rd # F1217Clackamas, OR 97015-7708
Phone 971-533-1369 · Fax 503-771-2436
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