SHANE DOUGLAS ROUSH

EUGENE, OR
NPI1295593937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-22-1832)
Enumeration Date2024-03-07
Last Update Date2024-03-07
Business Address
SHANE DOUGLAS ROUSH
195 W 12TH AVE
EUGENE, OR 97401-3408
Phone number: 541-762-4300
Mailing Address
SHANE DOUGLAS ROUSH
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number:
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