Individual
DEBRA MONAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1271 SW 9TH ST, WARRENTON, OR 97146-9418
(503) 861-4291
Mailing address
1271 SW 9TH ST, WARRENTON, OR 97146-9418
(503) 861-4291
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
136551892
OR
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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