-- JOHN CHARLES RIDDELL CADC I ⚕️ Oregon 1780958132

NPI	1780958132
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date	2012-03-02
Last Update Date	2012-03-02

-- JOHN CHARLES RIDDELL CADC I

2035 DAVCOR ST SE

SALEM, OR 97302-1595

Phone number: 503-576-4660

-- JOHN CHARLES RIDDELL CADC I

1575 19TH ST NE

SALEM, OR 97301-7931

Phone number: 503-585-6255