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Individual

TIMOTHY ZIRKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC I

Contact information

Practice address
460 LANCASTER DR NE, SALEM, OR 97301-4728
(503) 584-1906
(503) 584-1952
Mailing address
460 LANCASTER DR NE, SALEM, OR 97301-4728
(503) 584-1906
(503) 584-1952

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14-04-15
OR

Other

Enumeration date
05/16/2014
Last updated
05/16/2014
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