Individual
MR. RUSSELL JAMES HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCR
Contact information
Practice address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 391-9762
Mailing address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 391-9762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-4975
OR
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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