Individual
CHARLES TRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91150 N COBURG INDUSTRIAL WAY, COBURG, OR 97408-9512
(541) 687-1110
Mailing address
2918 TUDOR WAY SE, ALBANY, OR 97322-5623
(541) 990-6000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1403
OR
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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