Individual
MR. DALLAS EDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
THW
Contact information
Practice address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(855) 725-5308
Mailing address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(855) 725-5308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1730647975
—
175T00000X
Peer Specialist
1730647975
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/06/2019
Last updated
10/29/2024
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