PAUL JIM

REDMOND, OR
NPI1154791580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-01-06)
Enumeration Date2015-09-28
Last Update Date2015-09-28
Business Address
-- PAUL JIM CADC
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-475-6575
Mailing Address
-- PAUL JIM CADC
125 SW C ST
MADRAS, OR 97741-1458
Phone number: 541-475-6575