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JOHN RAVEN NPI 1609069921


NPI Information

NPI: 1609069921
Provider Name: JOHN RAVEN
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2505 SE 11TH AVE STE 332
PORTLAND, OR
ZIP 97202
Phone: (503) 206-9696
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John Raven is an addiction (substance use disorder) counselor in Portland, OR. John Raven NPI is 1609069921. 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:

2505 SE 11TH AVE STE 332
PORTLAND, OR
ZIP 97202-063
Phone: (503) 206-9696

The enumeration date for this NPI number is 8/21/2007 and was last updated on 12/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalC3475OREGONNo
2101YA0400XCounselorAddiction (Substance Use Disorder)10-12-70OREGONYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.