| Four Rivers Recovery | |
|
1019 Sw 3rd Ave Ontario OR 97914-2125 | |
| (154) 123-9843 | |
| Not Available |
| Full Name | Four Rivers Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1019 Sw 3rd Ave, Ontario, Oregon |
| Authorized Official Name and Position | Becky Jo Lloyd Hatfield (PARTNER/ OPERATIONS AND OFFICE MGR) |
| Authorized Official Contact | 1541239843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Rivers Recovery 1019 Sw 3rd Ave Ontario OR 97914-2125 Ph: (541) 239-8436 | Four Rivers Recovery 1019 Sw 3rd Ave Ontario OR 97914-2125 Ph: (154) 123-9843 |
| NPI Number | 1114664604 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114664604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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