Individual
REBAL L LEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 SW 1ST ST, PENDLETON, OR 97801-2139
(541) 278-6330
(541) 278-5419
Mailing address
46083 ADAMS RD, PENDLETON, OR 97801-9213
(541) 969-3901
(541) 278-5419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34-2057513
—
OR
Enumeration date
11/03/2021
Last updated
11/03/2021
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