KEDWARD HAINES

SALEM, OR
NPI1962924324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  17-05-08)
Enumeration Date2017-07-07
Last Update Date2022-07-21
Business Address
KEDWARD HAINES
3871 FAIRVIEW INDUSTRIAL DR SE STE 150
SALEM, OR 97302-1172
Phone number: 503-391-9762
Mailing Address
KEDWARD HAINES
3871 FAIRVIEW INDUSTRIAL DR SE STE 150
SALEM, OR 97302-1172
Phone number: 503-391-9762
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