Individual
MR. ROBERTO DIAZ CAMARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
399 YOUNG STREET, WOODBURN, OR 97071
(503) 981-5265
(503) 981-8736
Mailing address
399 YOUNG ST, WOODBURN, OR 97071-4817
(503) 981-5265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
98-04-08
OR
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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