Individual
CEDAR JANE DERISCHEBOURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HARM REDUCTION, QMHP
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4179
(541) 265-4194
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4179
(541) 265-4194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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