SCOTT WILLARD

NEWPORT, OR
NPI1164588513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  97R21)
Enumeration Date2006-12-29
Last Update Date2007-07-08
Business Address
-- SCOTT WILLARD CADCII
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-6611
Mailing Address
-- SCOTT WILLARD CADCII
853 NE LAKEWOOD DR
NEWPORT, OR 97365-1909
Phone number:
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