SCOTT LAURENCE CARPENTER

COBURG, OR
NPI1851938880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-19-357)
Enumeration Date2019-12-10
Last Update Date2019-12-10
Business Address
SCOTT LAURENCE CARPENTER
91150 COBURG INDUSTRIAL WAY
COBURG, OR 97408
Phone number: 541-687-1110
Mailing Address
SCOTT LAURENCE CARPENTER
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-687-1110
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