Individual
AILEEN S O'HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, CADC-I
Contact information
Practice address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 751-2564
Mailing address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 751-2564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26-06-11945
OR
175T00000X
Peer Specialist
21-CRM-749
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
06/22/2026
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