JONATHON BROADWATER
NPI 1316437189
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since May 16, 2018
6601 NE 78TH CT STE A3, PORTLAND, OR 97218(503) 252-3949 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathon Broadwater NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHON BROADWATER (NPI 1316437189) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1316437189
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJONATHON BROADWATER
Location Address6601 NE 78TH CT STE A3Portland, OR 97218-2823
Mailing Address6601 Ne 78th Ct Ste A3Portland, OR 97218-2823 · (503) 252-3949
Sole ProprietorNo
Enumeration DateMay 16, 2018
NPI 1316437189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
6601 NE 78TH CT STE A3, Portland, OR 97218

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
6601 NE 78TH CT STE A3
PORTLAND, OR 97218
Licensed Practical Nurse
6601 NE 78TH CT STE A3
PORTLAND, OR 97218
Counselor (Addiction (Substance Use Disorder))
6601 NE 78TH CT STE A3
PORTLAND, OR 97218
Counselor (Addiction (Substance Use Disorder))
6601 NE 78TH CT STE A3
PORTLAND, OR 97218
Licensed Practical Nurse
6601 NE 78TH CT STE A3
PORTLAND, OR 97218
Licensed Practical Nurse
6601 NE 78TH CT STE A3
PORTLAND, OR 97218
Counselor (Addiction (Substance Use Disorder))
6601 NE 78TH CT STE A3
PORTLAND, OR 97218
Licensed Practical Nurse
6601 NE 78TH CT STE A3
PORTLAND, OR 97218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathon Broadwater's NPI number?

The NPI number for Jonathon Broadwater is 1316437189. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Jonathon Broadwater located?

Jonathon Broadwater practices at 6601 NE 78th Ct Ste A3, Portland, OR 97218. The listed phone number is (503) 252-3949.

What is Jonathon Broadwater's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jonathon Broadwater was last updated on May 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.