ROGER BANTHER

SALEM, OR
NPI1487907606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7065)
Enumeration Date2012-10-25
Last Update Date2024-07-16
Business Address
Mr. ROGER BANTHER LCSW
1233 EDGEWATER ST NW
SALEM, OR 97304
Phone number: 503-378-7526
Mailing Address
Mr. ROGER BANTHER LCSW
3872 ASH AVE SE
SALEM, OR 97302-4703
Phone number: 206-650-1543
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