ANTHONY JORDAN

PORTLAND, OR
NPI1639596281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  99-11-27)
Enumeration Date2014-03-20
Last Update Date2014-09-26
Business Address
Mr. ANTHONY JORDAN CADC II
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 503-228-9229
Mailing Address
Mr. ANTHONY JORDAN CADC II
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 503-228-9229
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