JEREMY LYNN EVANS

NORTH BEND, OR
NPI1922761873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-21-1194)
Enumeration Date2021-10-18
Last Update Date2021-10-18
Business Address
JEREMY LYNN EVANS
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459-3444
Phone number: 541-751-0357
Mailing Address
JEREMY LYNN EVANS
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691