| Va | |
|
913 Nw Garden Valley Blvd Roseburg OR 97470-6513 | |
| (541) 440-1000 | |
| (541) 440-1273 |
| Full Name | Va |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 913 Nw Garden Valley Blvd, Roseburg, Oregon |
| Authorized Official Name and Position | George Marnell (DIRECTOR) |
| Authorized Official Contact | 5414401000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Va 1281 Se Magnolia Dr. Roseburg OR 97470-6513 Ph: (541) 440-1000 | Va 913 Nw Garden Valley Blvd Roseburg OR 97470-6513 Ph: (541) 440-1000 |
| NPI Number | 1235212986 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235212986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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