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1801659065
JOHNATHAN MCCORMICK
EUGENE, OR
NPI
1801659065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-01-31
Last Update Date
2024-04-05
Business Address
JOHNATHAN MCCORMICK
1040 OAK ST
EUGENE, OR 97401-3132
Phone number: 541-342-6987
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Mailing Address
JOHNATHAN MCCORMICK
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number: 541-393-0777
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