Gary James Henry in Portland - Addiction (substance Use Disorder)
Gary James Henry - NPI 1114065091
Gary James Henry is a Addiction (substance Use Disorder) in Portland, Oregon. Gary James Henry practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gary James Henry is 1114065091. The last update date is 2007-12-05.
Gary James Henry's current location address is 9268 Se Clinton St, Portland, Oregon. You can contact this provider via phone number 5038724080 and fax number 5038720481. The mailing address for Gary James Henry is 9268 Se Clinton St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary James Henry |
|---|---|
| Address | 9268 Se Clinton St, Portland, Oregon |
| Phone Number | 5038724080 |
| Fax Number | 5038720481 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114065091 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
| Address | 9268 Se Clinton St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972661456 |
| Phone Number | 5038724080 |
| Fax Number | 5038720481 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Gary James Henry?
The Gary James Henry has been issued the NPI (National Provider Identifier) 1114065091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gary James Henry?
The Gary James Henry is physically situated at 9268 Se Clinton St, in the city of Portland, state of OR, with the postal code 972661456.
What is Gary James Henry's area of expertise and its corresponding taxonomy classification?
The Gary James Henry's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114065091 to Gary James Henry?
The Centers for Medicare & Medicaid Services originally issued the 1114065091 to Gary James Henry on 2007-02-02.
As of what date were the details pertaining to Gary James Henry last refreshed?
The information related to the Gary James Henry, including its address, specialty, and other relevant details, was last updated on 2007-12-05.