# OSOA THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154619963
- **Authorized official:** MS. AMY ROSE ASHTON-WILLIAMS CADC II, LCSW (A&D COUNSELOR, CLINICAL SOCIAL WORK)
- **Authorized official phone:** (541) 429-9000

## Contact information

- **Practice address:** 114 SE 1ST ST, PENDLETON, OR 97801-2204
- **Practice address phone:** (541) 429-9000
- **Practice address fax:** (855) 738-7698
- **Mailing address:** PO BOX 1703, 114 SE 1ST ST, PENDLETON, OR 97801-0540
- **Mailing address phone:** (541) 429-9000
- **Mailing address fax:** (855) 738-7698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 07-09-56 | OR | — |
| 1041C0700X | Clinical Social Worker | 062120 | OR | Yes |

## Other

- **Enumeration date:** 07/13/2011
- **Last updated:** 04/22/2016
