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John Gross, CADC I

NPI 1588094965 · on the registry since 2013 · sole proprietor

Practice

Address
Tsnw 948 Ne 102nd St.
Suite 101
Portland, OR 97220
Phone
(503) 257-0381

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon