John Raven in Happy Valley - Addiction (substance Use Disorder)
John Raven - NPI 1609069921
John Raven is a Addiction (substance Use Disorder) in Happy Valley, Oregon. John Raven practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Raven is 1609069921. The last update date is 2021-12-23.
John Raven's current location address is 10951 Se Stevens Way, Happy Valley, Oregon. You can contact this provider via phone number 5032069696. The mailing address for John Raven is 10951 Se Stevens Way, Happy Valley, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Raven |
|---|---|
| Address | 10951 Se Stevens Way, Happy Valley, Oregon |
| Phone Number | 5032069696 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1609069921 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2021-12-23 |
Provider Mailing Address Detail
| Address | 10951 Se Stevens Way |
|---|---|
| City | Happy Valley |
| State | Oregon (OR) |
| Post Code | 970867435 |
| Phone Number | 5032069696 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1970-10-12 0 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the John Raven's unique identification number?
The John Raven has been assigned the NPI (National Provider Identifier) Number 1609069921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the John Raven located?
The John Raven is located at 10951 Se Stevens Way, Happy Valley, OR 970867435.
What is the John Raven's specialty and taxonomy code?
The John Raven's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609069921 to John Raven?
The Centers for Medicare & Medicaid Services originally issued the 1609069921 to John Raven on 2007-08-21.
When was the information pertaining to John Raven most recently updated or revised?
The details related to John Raven, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-23.
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