Organization
CLEAR PATHS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LA VINE (HUMAN RESOURCES GENERALIST)
(503) 363-2021
Entity
Organization
Contact information
Practice address
171 SW COURT, DALLAS, OR 97338
(503) 831-1423
(503) 831-1573
Mailing address
3793 RIVER RD N, KEIZER, OR 97303-4827
(503) 304-7002
(503) 304-7049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACCBO970482
OR
324500000X
Substance Abuse Rehabilitation Facility
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Other
Enumeration date
08/07/2006
Last updated
03/16/2020
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