Individual
CINDY D BOTHUM-HASLEBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8855 SW HOLLY LN STE 122, WILSONVILLE, OR 97070-8793
(503) 682-7744
(503) 682-3384
Mailing address
8855 SW HOLLY LN STE 122, WILSONVILLE, OR 97070-8793
(503) 682-7744
(503) 682-3384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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