Individual
JOSH LAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
863 LIBERTY ST NE, SALEM, OR 97301-2451
(503) 399-5597
(503) 316-9740
Mailing address
3321 HAROLD DR NE, SALEM, OR 97305-1339
(503) 399-5597
(503) 316-9740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16-CRM-070
OR
175T00000X
Peer Specialist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263634042
—
OR
Enumeration date
06/10/2016
Last updated
12/18/2023
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