Individual
DWAYNE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
3878 BEVERLY AVE NE, BUILDING H SUITE 5, SALEM, OR 97305-1394
(503) 399-0670
(503) 399-0655
Mailing address
3878 BEVERLY AVE NE, BUILDING H SUITE 5, SALEM, OR 97305-1394
(503) 399-0670
(503) 399-0655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-CRM-083
OR
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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