Individual
SUSAN ANNE DOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 SE JACKSON STREET, ROSEBURG, OR 97470-0254
(541) 492-0175
(541) 677-7199
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 492-0175
(541) 677-7199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-06-53
OR
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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