Nb-yop | |
1950 Winchester Ave Reedsport OR 97467-1151 | |
(541) 672-2691 | |
(541) 673-5642 |
Full Name | Nb-yop |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1950 Winchester Ave, Reedsport, Oregon |
Authorized Official Name and Position | Bruce Piper (CEO) |
Authorized Official Contact | 5416722691 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nb-yop Po Box 1121 Roseburg OR 97470-0254 Ph: (541) 672-2691 | Nb-yop 1950 Winchester Ave Reedsport OR 97467-1151 Ph: (541) 672-2691 |
NPI Number | 1235568155 |
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Provider Enumeration Date | 11/01/2013 |
Last Update Date | 11/01/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235568155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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