Individual
MR. GUADALUPE YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B,S., CADC I
Contact information
Practice address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
(503) 304-1310
Mailing address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
(503) 304-1310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-P-04
OR
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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