DAVID AMITY

ALBANY, OR
NPI1255756060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  98-07-01)
Enumeration Date2014-03-03
Last Update Date2014-03-03
Business Address
-- DAVID AMITY
104 4TH AVE SW
ALBANY, OR 97321-2804
Phone number: 541-967-3819
Mailing Address
-- DAVID AMITY
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3819
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