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1326406398
PAUL DOUGLAS ROBERTSON
ROSEBURG, OR
NPI
1326406398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-06-63)
Enumeration Date
2016-02-05
Last Update Date
2016-02-05
Business Address
Mr. PAUL DOUGLAS ROBERTSON CADC I, B.S.
548 SE JACKSON ST
ROSEBURG, OR 97470-2709
Phone number: 541-672-2691
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Mailing Address
Mr. PAUL DOUGLAS ROBERTSON CADC I, B.S.
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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