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1629780572
TIMOTHY WAYNE ANDERSON
SALEM, OR
NPI
1629780572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
TIMOTHY WAYNE ANDERSON CRM, THW
1011 COMMERCIAL ST NE
SALEM, OR 97301-1049
Phone number: 503-983-9900
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Mailing Address
TIMOTHY WAYNE ANDERSON CRM, THW
9600 HEBO RD
GRAND RONDE, OR 97347-9704
Phone number: 971-387-6846
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