KATIE BISHOP

ROSEBURG, OR
NPI1205343563
Former NameKATIE WILCOX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-01-08
Last Update Date2023-02-15
Business Address
KATIE BISHOP
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
Mailing Address
KATIE BISHOP
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: