DAVE AUTREY

BEND, OR
NPI1740482975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  98-R-05)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
-- DAVE AUTREY
461 NE GREENWOOD AVE
BEND, OR 97701
Phone number: 541-617-7365
Mailing Address
-- DAVE AUTREY
51950 PACIFIC WILLOW
LA PINE, OR 97739-9425
Phone number: 541-617-7365
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