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1730590381
TIMOTHY ZIRKLE
SALEM, OR
NPI
1730590381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 14-04-15)
Enumeration Date
2014-05-16
Last Update Date
2014-05-16
Business Address
-- TIMOTHY ZIRKLE CADC I
460 LANCASTER DR NE
SALEM, OR 97301-4728
Phone number: 503-584-1906
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Mailing Address
-- TIMOTHY ZIRKLE CADC I
460 LANCASTER DR NE
SALEM, OR 97301-4728
Phone number: 503-584-1906
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