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Organization

EASTERN OREGON ALCOHOLISM FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. COLIN PETER DUMONT CADCII, QMHP (EXECUTIVE DIRECTOR)
(541) 276-3518
Entity
Organization

Contact information

Practice address
216 SW HAILEY AVENUE, PENDLETON, OR 97801
(541) 276-3518
(541) 276-4189
Mailing address
216 S.W. HAILEY AVENUE, PENDLETON, OR 97801
(541) 276-3518
(541) 276-4189

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
OR
251S00000X
Community/Behavioral Health Agency
OR
324500000X
Substance Abuse Rehabilitation Facility
Primary
OR
324500000X
Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006405
OR
Enumeration date
02/19/2007
Last updated
05/04/2015
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