SALVADOR AMEZOLA

REDMOND, OR
NPI1467823112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  02 P 03)
Enumeration Date2015-10-07
Last Update Date2015-10-07
Business Address
-- SALVADOR AMEZOLA CADC II
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
Mailing Address
-- SALVADOR AMEZOLA CADC II
236 SE D ST
MADRAS, OR 97741-1619
Phone number: 541-475-5300
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