| Conrad M Douma Jr, CADC I | |
|
107 Se Swan, Siletz, OR 97380 | |
| (541) 444-1030 | |
| (541) 444-9695 |
| Full Name | Conrad M Douma Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 107 Se Swan, Siletz, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023131646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 99-11-10 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Conrad M Douma Jr, CADC I Po Box 320, Siletz, OR 97380-0320 Ph: (541) 444-1030 | Conrad M Douma Jr, CADC I 107 Se Swan, Siletz, OR 97380 Ph: (541) 444-1030 |
Todd Logan, CADC R Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Gwee Shut Rd, Siletz, OR 97380 Phone: 541-444-1030 | |
Heather Jean Cole, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 320, Siletz, OR 97380 Phone: 541-444-8286 | |
Danielle Shaunte Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Gwee Shut Rd, Siletz, OR 97380 Phone: 541-444-1030 | |
Ms. Francisca Darlene Rilatos, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Gwee Shut Rd, Siletz, OR 97380 Phone: 541-444-1030 | |
Jess William Ramsey, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Gwee Shut Rd, Siletz, OR 97380 Phone: 541-444-8286 | |
Harmony Stout, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 549, Siletz, OR 97380 Phone: 541-444-2532 |