CHRISTOPHER J SEVERSON

GRESHAM, OR
NPI1457925794
Other NameCHRIS J SEVERSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  22-04-10391)
Enumeration Date2021-05-19
Last Update Date2022-05-27
Business Address
CHRISTOPHER J SEVERSON CADC I
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
Mailing Address
CHRISTOPHER J SEVERSON CADC I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044