Individual
STEPHEN BINGENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC1
Contact information
Practice address
104 4TH AVE SW, ROOM 238, ALBANY, OR 97321-2804
(541) 967-3819
(541) 967-7259
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3819
(541) 967-7259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05-11-05
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101279
—
OR
Enumeration date
09/24/2010
Last updated
09/24/2010
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