CRAIG CHAN

PORTLAND, OR
NPI1508226556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-04-05)
Enumeration Date2016-03-03
Last Update Date2016-03-03
Business Address
-- CRAIG CHAN
10101 SW BARBUR BLVD STE 101
PORTLAND, OR 97219-5915
Phone number: 503-245-6262
Mailing Address
-- CRAIG CHAN
10101 SW BARBUR BLVD STE 101
PORTLAND, OR 97219-5915
Phone number: 503-245-6262