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Ian Gustafson
NPI 1033539408 · on the registry since 2014
Practice
- Address
- 707 Ne Couch St
Portland, OR 97232 - Phone
- (503) 542-4603
- Fax
- (503) 233-6093
- Organisation at this address
- Janus Youth Programs
Janus Youth Programs, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 118
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Also registered as
- School Counselor
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon