ANTONIO GENTRY
NPI 1366149403
Counselor - Addiction (Substance Use Disorder) in Madras, OR

Active since February 09, 2023
850 SW 4TH ST STE 201, MADRAS, OR 97741(541) 475-6575(541) 475-6196 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio Gentry NPPES

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

ANTONIO GENTRY (NPI 1366149403) is an individual addiction (substance use disorder) provider in Madras, Oregon, licensed in Oregon (22-05-10400) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1366149403
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANTONIO GENTRY
Location Address850 SW 4TH ST STE 201Madras, OR 97741-9629
Mailing Address850 Sw 4th St Ste 201Madras, OR 97741-9629 · (541) 475-6575 · Fax (541) 475-6196
Fax(541) 475-6196
Sole ProprietorNo
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
NPI 1366149403 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
License Licensed in OR · 22-05-10400
850 SW 4TH ST STE 201, Madras, OR 97741

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
850 SW 4TH ST STE 201
MADRAS, OR 97741
Counselor (Addiction (Substance Use Disorder))
850 SW 4TH ST STE 201
MADRAS, OR 97741
Counselor (Addiction (Substance Use Disorder))
850 SW 4TH ST STE 201
MADRAS, OR 97741
Counselor (Addiction (Substance Use Disorder))
850 SW 4TH ST STE 201
MADRAS, OR 97741
Counselor (Addiction (Substance Use Disorder))
850 SW 4TH ST STE 201
MADRAS, OR 97741
Community/Behavioral Health
850 SW 4TH ST STE 201
MADRAS, OR 97741
Peer Specialist
850 SW 4TH ST STE 201
MADRAS, OR 97741

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 Antonio Gentry's NPI number?

The NPI number for Antonio Gentry is 1366149403. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Antonio Gentry located?

Antonio Gentry practices at 850 SW 4th St Ste 201, Madras, OR 97741. The listed phone number is (541) 475-6575.

What is Antonio Gentry'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 Antonio Gentry was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.