JOHN GROSS

PORTLAND, OR
NPI1588094965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  03-03-17)
Enumeration Date2013-11-20
Last Update Date2013-11-20
Business Address
-- JOHN GROSS CADC I
TSNW 948 NE 102ND ST. SUITE 101
PORTLAND, OR 97220
Phone number: 503-257-0381
Mailing Address
-- JOHN GROSS CADC I
984 NE 102ND ST SUITE 101
PORTLAND, OR 97220
Phone number: 503-257-0381