MR. ANDREW GADBOIS (NPI# 1871727370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871727370 |
| Entity Type | Individual |
| Full Name | MR. ANDREW GADBOIS |
| Credential | CADC I |
| Practice Address |
4310 Ne Killingsworth St. Portland OR 97208-3007 |
| Practice Telephone | 5035351150 |
| Practice Fax Number | 5035280800 |
| Mailing Telephone | 5035351150 |
| Mailing Fax Number | 5035280800 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
4310 NE KILLINGSWORTH ST. |
| City | PORTLAND |
| State | OR |
| Zip Code | 97208-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194037283 | De Paul Treatment Centers | Substance Abuse Rehabilitation Facility | 1312 Sw Washington St., Portland, OR 97208 | 2010-07-06 |
| 1063743847 | Jacqueline Mendro | Counselor | 1312 Sw Washington, Portland, OR 97208 | 2010-01-19 |
| 1205960432 | Sean Donahue | Counselor | 1312 Sw Washington Street, Portland, OR 97208 | 2007-03-16 |
| 1831536531 | Premiercare Anesthesia Fountain Valley Inc | Anesthesiology | 17100 Euclid St., Fountain Valley, CA 97208 | 2013-06-04 |
| 1700916509 | Franklin Owen Black | Otolaryngology | 1225 Ne 2nd Ave, Suite 305, Portland, OR 97208 | 2007-03-07 |
| 1548602774 | William Thomas Ryan Meristem | Counselor | De Paul Treatment Centers, 1312 Sw Washington, Portland, OR 97208-3007 | 2013-07-30 |
| 1477912780 | Dorothy Stefanello | Peer Specialist | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2016-02-15 |
| 1538531611 | Caitlin Lerch | Counselor | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2015-10-28 |
| 1396186607 | Richard Ivan Vaughan | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97208-3007 | 2013-07-15 |
| 1932449600 | Jason Charles Zontanos | Counselor | 1312 Sw Washington St, Portland, OR 97208-3007 | 2013-02-18 |
| Find all providers in zip 97208 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.