Individual
MARK STERLING CUMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 FIR ST STE 327, LA GRANDE, OR 97850-2663
(541) 709-6280
Mailing address
105 FIR ST STE 327, LA GRANDE, OR 97850-2663
(541) 709-6280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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