Individual
MR. JEFFREY DONALD DUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(500) 399-1661
Mailing address
1715 BAKER ST NE, SALEM, OR 97303-3320
(503) 364-7013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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