Individual
JAMES PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
100 MULLINS DR STE C2, LEBANON, OR 97355-2868
(541) 451-6388
Mailing address
100 MULLINS DR STE C2, LEBANON, OR 97355-2868
(541) 451-6388
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-09-09
OR
Other
Enumeration date
09/27/2016
Last updated
04/16/2019
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