Individual
MARCUS PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
3321 HAROLD DR NE, SALEM, OR 97305-1339
(503) 236-3202
Mailing address
3321 HAROLD DR NE, SALEM, OR 97305-1339
(503) 236-3202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-CRM-144
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC CANDIDATE
OR
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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