Individual
TROY STEPHEN COWGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2586 12TH PL SE, SALEM, OR 97302-2536
(503) 371-4160
(503) 375-9727
Mailing address
8045 SW PETERS RD, PORTLAND, OR 97224-7081
(971) 678-0357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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