DONALD ENDICOTT

BAKER CITY, OR
NPI1518325323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  10- P-05)
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
-- DONALD ENDICOTT
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-6680
Mailing Address
-- DONALD ENDICOTT
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-6680
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