JOHN GOFORTH

PORTLAND, OR
NPI1659790111
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  13-P-01)
Enumeration Date2014-04-14
Last Update Date2014-04-14
Business Address
-- JOHN GOFORTH CADC I
10101 SW BARBUR BLVD STE 102
PORTLAND, OR 97219-5915
Phone number: 503-245-6262
Mailing Address
-- JOHN GOFORTH CADC I
10101 SW BARBUR BLVD STE 102
PORTLAND, OR 97219-5915
Phone number:
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