-- ERNST UDEY SHADBOLT CADC I ⚕️ Oregon 1639536691

NPI	1639536691
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-03-32)
Enumeration Date	2016-01-21
Last Update Date	2016-01-21

-- ERNST UDEY SHADBOLT CADC I

2064 SE DOUGLAS AVE

ROSEBURG, OR 97470-3713

Phone number: 541-673-5119

-- ERNST UDEY SHADBOLT CADC I

PO BOX 1121

ROSEBURG, OR 97470-0254

Phone number: 541-673-5119