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Individual

PATRICK P HORNBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDAC 1 INTERN

Contact information

Practice address
215 N G ST, LAKEVIEW, OR 97630-1417
(541) 947-6021
(541) 947-6020
Mailing address
215 N G ST, LAKEVIEW, OR 97630-1417
(541) 947-6021
(541) 947-6020

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/12/2017
Last updated
07/12/2017
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