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1861918211
JASON RILEY
BAKER CITY, OR
NPI
1861918211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-17
Last Update Date
2017-08-17
Business Address
JASON RILEY
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-9894
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Mailing Address
JASON RILEY
2845 MADISON ST
BAKER CITY, OR 97814-2558
Phone number: 541-403-4675
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