Individual
JODIE BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
850 SW 4TH ST, MADRAS, OR 97741-9628
(541) 475-6575
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-10-02
OR
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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