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1114432002
STEPHEN DOUGLAS MCKNIGHT
EUGENE, OR
NPI
1114432002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-17-356)
Enumeration Date
2017-12-13
Last Update Date
2019-03-19
Business Address
STEPHEN DOUGLAS MCKNIGHT
149 W 12TH AVE
EUGENE, OR 97401-3408
Phone number: 541-762-4400
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Mailing Address
STEPHEN DOUGLAS MCKNIGHT
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4100
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