GREGORY BRIDGES

ROSEBURG, OR
NPI1598396574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-19-615)
Enumeration Date2020-01-29
Last Update Date2020-01-29
Business Address
GREGORY BRIDGES
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
Mailing Address
GREGORY BRIDGES
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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