Jonathon Broadwater
Jonathon Broadwater is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
6601 NE 78th Ct Ste A3Portland, OR 97218-2823
Phone: (503) 252-3949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1316437189 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 16, 2018 |
| Last updated in NPPES | May 16, 2018 |
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