MR. GORDON F SHRADER LADC NPI 1720177645

NPI Information

NPI: 1720177645
Provider Name: MR. GORDON F SHRADER, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
459 PATTERSON RD
HONOLULU, HI
ZIP 96819
Phone: (808) 935-3781
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MR. Gordon F Shrader, LADC is an addiction (substance use disorder) counselor in Honolulu, HI. MR. Gordon F Shrader, LADC NPI is 1720177645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

459 PATTERSON RD
HONOLULU, HI
ZIP 96819-522
Phone: (808) 935-3781
Fax: (808) 935-6692

The enumeration date for this NPI number is 10/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	114L	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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