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Individual

NICK RYAN LOWRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC-R

Contact information

Practice address
525 FERRY ST SE STE 203, SALEM, OR 97301-3743
(503) 363-6103
(503) 363-0833
Mailing address
525 FERRY ST SE STE 203, SALEM, OR 97301-3743
(603) 363-6103
(503) 363-0833

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-20-339
OR

Other

Enumeration date
12/13/2021
Last updated
12/13/2021
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