ANTHONY MICHELL LATHAN CADC-1/QMHP
NPI 1316603053
Counselor - Addiction (Substance Use Disorder) in Tigard, OR

Active since November 16, 2021
10763 SW GREENBURG RD, TIGARD, OR 97223(503) 684-8159 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Jan 20, 2023, Nov 28, 2022 and 2 more (5 updates tracked since 2021).

About Anthony Michell Lathan Cadc-1/qmhp NPPES

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

ANTHONY MICHELL LATHAN CADC-1/QMHP (NPI 1316603053) is an individual addiction (substance use disorder) provider in Tigard, Oregon, licensed in Oregon (24-07-11201) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1316603053
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANTHONY MICHELL LATHANCredential: CADC-1/QMHP
Location Address10763 SW GREENBURG RDTigard, OR 97223-5492
Mailing Address10763 Sw Greenburg RdTigard, OR 97223-5492 · (503) 684-8159
Sole ProprietorNo
Enumeration DateNovember 16, 2021
Last NPPES UpdateNovember 25, 20255 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
NPI 1316603053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · 24-07-11201
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
10763 SW GREENBURG RD, Tigard, OR 97223

Other Identifiers 2

Medicaid500813163OR
Medicaid500813165OR

Other Providers at the Same Location NPPES 19

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

Registered Nurse
10763 SW GREENBURG RD
TIGARD, OR 97223
Licensed Practical Nurse
10763 SW GREENBURG RD
TIGARD, OR 97223
Licensed Practical Nurse
10763 SW GREENBURG RD, ST 100
TIGARD, OR 97223
Counselor (Mental Health)
10763 SW GREENBURG RD
TIGARD, OR 97223
Clinic/Center (Methadone)
10763 SW GREENBURG RD, STE 100
TIGARD, OR 97223
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD
TIGARD, OR 97223
Licensed Practical Nurse
10763 SW GREENBURG RD
TIGARD, OR 97223
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD
TIGARD, OR 97223

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 Anthony Lathan's NPI number?

The NPI number for Anthony Lathan is 1316603053. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Anthony Lathan located?

Anthony Lathan practices at 10763 SW Greenburg Rd, Tigard, OR 97223. The listed phone number is (503) 684-8159.

What is Anthony Lathan'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 Anthony Lathan was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.