Individual
STEPHEN MUSCHETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
Mailing address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7126107
OR
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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