Organization
WASCO COUNTY COMMUNITY CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRITZ JOHN BACHMAN (DIRECTOR)
(541) 506-2570
Entity
Organization
Contact information
Practice address
421 E 7TH ST, THE DALLES, OR 97058-2607
(541) 506-2570
(541) 506-2571
Mailing address
421 E 7TH ST, THE DALLES, OR 97058-2607
(541) 506-2570
(541) 506-2571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639539315
—
OR
Enumeration date
09/19/2019
Last updated
09/19/2019
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