Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONIO GENTRY
ActiveANTONIO GENTRY is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MADRAS, Oregon. NPI 1366149403 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MADRAS, OR
Registration Details
- NPI Number
- 1366149403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2023 (3.327603157229 yrs)
- Last Updated
- Feb 9, 2023
- License
-
22-05-10400 (OR)
Practice Information
- Address
-
850 SW 4TH ST STE 201MADRAS, OR, 977419629Browse OR providers · Browse ZIP 97741
- Phone
- 5414756575
- Fax
- 5414756196
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MADRAS, OR
| Name | Credential | NPI |
|---|---|---|
| ELISABETH M FINCHER | LPC | 1629243209 |
| MICHELLE MARTINA ELLIOTT | CADC I | 1669713491 |
| LAURA ANNE EMERSON | CRM | 1669713400 |
| EILEEN MYERS | CADC | 1467890129 |
| MICHAEL LILES | — | 1578964813 |
| SHANNON MATSON | CADC I | 1194102111 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.