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Organization
INNER PATHWAYS PC
Active
Organization
INNER PATHWAYS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ANNE WITT LCSW (PRESIDENT)
(541) 490-5831
Entity
Organization
Contact information
Practice address
702 COLUMBIA ST, HOOD RIVER, OR 97031-1720
(541) 490-5831
Mailing address
PO BOX 1245, HOOD RIVER, OR 97031-0083
(541) 490-5831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
03-03-46
OR
1041C0700X
Clinical Social Worker
Primary
L2419
OR
Other
Enumeration date
01/04/2013
Last updated
05/25/2019
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