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Individual

ROBERT BATHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRM

Contact information

Practice address
525 FERRY ST SE STE 203, SALEM, OR 97301-3743
(503) 363-6103
Mailing address
1930 HAMPDEN LN NE UNIT 22, SALEM, OR 97305-3281
(503) 586-6710

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/28/2018
Last updated
05/28/2018
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