EASTON HALLOCK

GRESHAM, OR
NPI1467220236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2023-12-12
Last Update Date2024-09-25
Business Address
EASTON HALLOCK CADC II, QMHA II
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030-5770
Phone number: 503-866-0877
Mailing Address
EASTON HALLOCK CADC II, QMHA II
10117 SE SUNNYSIDE RD STE F
CLACKAMAS, OR 97015-7708
Phone number: 503-866-0877
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