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Individual

MARC RAYMOND DOUTHIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADCII

Contact information

Practice address
605 W 4TH AVE, EUGENE, OR 97402
(541) 743-4340
(541) 743-4369
Mailing address
687 CHESHIRE AVE., EUGENE, OR 97402
(541) 684-4100
(541) 684-4156

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-03-58
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500662506
OR
Enumeration date
09/19/2013
Last updated
07/21/2022
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