BRIAN HODGES

BEND, OR
NPI1316302292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-12-32)
Enumeration Date2015-12-21
Last Update Date2015-12-21
Business Address
-- BRIAN HODGES
23 NW GREENWOOD AVE
BEND, OR 97703-2078
Phone number: 541-383-4293
Mailing Address
-- BRIAN HODGES
18824 TUSCANORA LANE
BEND, OR 97702
Phone number: 541-420-0732
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