MR. Jason Ryan Grismore, CADC I CANDIDATE

NPI #1215329545 in Tigard, Oregon

Provider Information

NPI Number
1215329545
Entity Type
Individual
Name
MR. Jason Ryan Grismore, CADC I CANDIDATE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CADC I CANDIDATE
Enumeration Date
Feb 24, 2015
Last Updated
Feb 24, 2015

Practice Location

Address
10362 SW MCDONALD
City
Tigard
State
Oregon
ZIP Code
97224
Phone
(503) 624-0312

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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