PATRICK CLANCY

SALEM, OR
NPI1073048377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  16CRM077)
Enumeration Date2017-04-24
Last Update Date2017-04-24
Business Address
-- PATRICK CLANCY CRM
3321 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-399-5597
Mailing Address
-- PATRICK CLANCY CRM
3321 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-399-5597