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1205973864
ROGER JOSEPH SMITH
REDMOND, OR
NPI
1205973864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 02-11-74)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Mr. ROGER JOSEPH SMITH CADC I
676 NE NEGUS WAY
REDMOND, OR 97756-8527
Phone number: 541-504-9577
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Mailing Address
Mr. ROGER JOSEPH SMITH CADC I
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-504-9577
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