Individual
MR. DAVID ARLEY MINTKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2035 DAVCOR ST SE, SALEM, OR 97302-1595
(503) 576-4685
Mailing address
2035 DAVCOR ST SE, SALEM, OR 97302-1595
(503) 576-4685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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