Individual
JAMES AUSTIN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 479-8847
Mailing address
109 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 787-4075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-10-18
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871703702
—
OR
Enumeration date
11/29/2018
Last updated
11/29/2018
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