DAVE SHARP

SALEM, OR
NPI1780093989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  05-03-40)
Enumeration Date2014-08-13
Last Update Date2014-08-13
Business Address
-- DAVE SHARP
730 HAWTHORNE AVE NE
SALEM, OR 97301-4674
Phone number: 509-585-8129
Mailing Address
-- DAVE SHARP
730 HAWTHORNE AVE NE
SALEM, OR 97301-4674
Phone number: 503-585-8129
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