Judkins, Gregory John

Judkins, Gregory John is an individual health care provider with primary practice located at 400 Ne 7Th St , Gresham OR 97030-5604. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Judkins, Gregory John can be contacted via phone (503) 489-2213.

Contact Information

Primary practice address
400 Ne 7Th St Gresham OR 97030-5604
Phone: (503) 489-2213
Fax: (503) 661-4959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 97-10-34 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1588701387
LBN Legal business name Judkins, Gregory John
Credentials CADCII
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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