Individual
RONALD FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2064 SE DOUGLAS AVE, ROSEBURG, OR 97470-3713
(541) 673-5119
Mailing address
2064 SE DOUGLAS AVE, ROSEBURG, OR 97470-3713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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