JOHN THOMAS BRISTOL

PORTLAND, OR
NPI1174080428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-02-22
Last Update Date2022-03-03
Business Address
JOHN THOMAS BRISTOL CADC-I, CRM
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 971-232-3850
Mailing Address
JOHN THOMAS BRISTOL CADC-I, CRM
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: