DOUGLAS SMITH

COBURG, OR
NPI1740736958
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-02-22)
Enumeration Date2016-08-28
Last Update Date2016-08-28
Business Address
-- DOUGLAS SMITH
1 SERENITY LANE
COBURG, OR 97408
Phone number: 541-284-5682
Mailing Address
-- DOUGLAS SMITH
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-284-5682
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