Individual
MR. DOUGLAS LAURENCE MCALISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05/07/24
OR
101YM0800X
Mental Health Counselor
23-QMHA-R-4172
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092113
ODL
OR
Enumeration date
12/13/2011
Last updated
08/14/2023
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