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Organization

OSOA THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY ROSE ASHTON-WILLIAMS CADC II, LCSW (A&D COUNSELOR, CLINICAL SOCIAL WORK)
(541) 429-9000
Entity
Organization

Contact information

Practice address
114 SE 1ST ST, PENDLETON, OR 97801-2204
(541) 429-9000
(855) 738-7698
Mailing address
PO BOX 1703, 114 SE 1ST ST, PENDLETON, OR 97801-0540
(541) 429-9000
(855) 738-7698

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07-09-56
OR
1041C0700X
Clinical Social Worker
Primary
062120
OR

Other

Enumeration date
07/13/2011
Last updated
04/22/2016
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