Individual
JAMES RAYMOND WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
323 NW LEE ST, NEWPORT, OR 97365-3616
(541) 264-8185
Mailing address
323 NW LEE ST, NEWPORT, OR 97365-3616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/21/2013
Last updated
01/24/2013
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