Individual
JOSHUA MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 NE DIVISION ST, BEND, OR 97701-3509
(541) 203-0283
Mailing address
1875 NE DIVISION ST, BEND, OR 97701-3509
(541) 203-0283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-CRM-6373
OR
175T00000X
Peer Specialist
Primary
113615
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113615
THW
OR
Enumeration date
01/26/2026
Last updated
02/20/2026
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