Organization
ADDICTION MEDICINE CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HERNDON (DIRECTOR)
(206) 852-8815
Entity
Organization
Contact information
Practice address
1325 NORTH HOLLADAY DR., SEASIDE, OR 97138
(503) 738-7700
Mailing address
2359 S EDGEWOOD ST, SEASIDE, OR 97138-5082
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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