Individual
DONALD JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 1
Contact information
Practice address
4705 NW PIONEER PL, PENDLETON, OR 97801-9370
(541) 276-7824
(541) 278-0353
Mailing address
4705 NW PIONEER PL, PENDLETON, OR 97801-9370
(541) 276-7824
(541) 278-0353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-09-49
OR
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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