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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN D BUCHANAN AGS, CADC-II, QMHA
NPI 1639826266
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since March 03, 2022
1217 NE BURNSIDE RD STE 701, GRESHAM, OR 97030(971) 533-1369(503) 771-2436 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Mar 3, 2022 (2 updates tracked since 2022).

About Justin D Buchanan Ags, Cadc-ii, Qmha NPPES

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

JUSTIN D BUCHANAN AGS, CADC-II, QMHA (NPI 1639826266) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (25-01-20521) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1639826266
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJUSTIN D BUCHANANCredential: AGS, CADC-II, QMHA
Location Address1217 NE BURNSIDE RD STE 701Gresham, OR 97030-5770
Mailing Address10117 Se Sunnyside Rd # F1217Clackamas, OR 97015-7708 · (971) 533-1369 · Fax (503) 771-2436
Phone(971) 533-1369
Fax(503) 771-2436
Sole ProprietorNo
Enumeration DateMarch 3, 2022
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1639826266 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 · 25-01-20521
Also ListedCounselorTaxonomy 101Y00000X · License 25-QMHA-R-7810 (OR)
1217 NE BURNSIDE RD STE 701, Gresham, OR 97030
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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.

KARISSA ROSE MATHEWS CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
ABIGAIL DORA ANN KRUMMENACKER
Student in an Organized Health Care Education/Training Program
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
ALEXANDRA MORRISON CADC-II, QMHA-R, CRM
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
BETHANIE WILSON CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
MR. DOUGLAS LEE SCHMER SR. CRM, CADC-R
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
PARKER ELIZABETH-ROSE ANDERSON LPC, CADC-I
Counselor (Professional)
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
GWENDOLYN JOY KOCHAN LMT
Massage Therapist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 665-8959
BRANDON GS WINWARD CADC-R, CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971

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 Justin Buchanan's NPI number?

The NPI number for Justin Buchanan is 1639826266. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Justin Buchanan located?

Justin Buchanan practices at 1217 NE Burnside Rd Ste 701, Gresham, OR 97030. The listed phone number is (971) 533-1369.

What is Justin Buchanan'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 Justin Buchanan was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.