ROGER JOSEPH SMITH

REDMOND, OR
NPI1205973864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  02-11-74)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Mr. ROGER JOSEPH SMITH CADC I
676 NE NEGUS WAY
REDMOND, OR 97756-8527
Phone number: 541-504-9577
Mailing Address
Mr. ROGER JOSEPH SMITH CADC I
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-504-9577
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