PAUL DOUGLAS ROBERTSON

ROSEBURG, OR
NPI1326406398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-06-63)
Enumeration Date2016-02-05
Last Update Date2016-02-05
Business Address
Mr. PAUL DOUGLAS ROBERTSON CADC I, B.S.
548 SE JACKSON ST
ROSEBURG, OR 97470-2709
Phone number: 541-672-2691
Mailing Address
Mr. PAUL DOUGLAS ROBERTSON CADC I, B.S.
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691