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Organization
WILLAMETTE VALLEY TREATMENT CENTER, INC.
Active
Organization
WILLAMETTE VALLEY TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAY M LAWSHE LPN/CADCII/NCACII (EXECUTIVE PROGRAM DIRECTOR/SPONSOR)
(503) 391-9762
Entity
Organization
Contact information
Practice address
115 LANCASTER DR NE, SALEM, OR 97301-5110
(503) 391-9762
(503) 315-2019
Mailing address
115 LANCASTER DR NE, SALEM, OR 97301-5110
(503) 391-9762
(503) 315-2019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OR10-036M
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227068
—
OR
Enumeration date
08/29/2006
Last updated
08/22/2020
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