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Individual

DONALD DALE GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC I

Contact information

Practice address
2371 NE STEPHENS ST STE 200, ROSEBURG, OR 97470-1399
(541) 672-8533
(541) 672-4993
Mailing address
2371 NE STEPHENS ST STE 200, ROSEBURG, OR 97470-1399
(541) 672-8533
(541) 672-4993

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4107360
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165772
OR
Enumeration date
05/29/2008
Last updated
05/29/2008
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