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1740736958
DOUGLAS SMITH
COBURG, OR
NPI
1740736958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-02-22)
Enumeration Date
2016-08-28
Last Update Date
2016-08-28
Business Address
-- DOUGLAS SMITH
1 SERENITY LANE
COBURG, OR 97408
Phone number: 541-284-5682
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Mailing Address
-- DOUGLAS SMITH
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-284-5682
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