Individual
DAVE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 HAWTHORNE AVE NE, SALEM, OR 97301-4674
(509) 585-8129
(503) 362-6158
Mailing address
730 HAWTHORNE AVE NE, SALEM, OR 97301-4674
(503) 585-8129
(503) 363-6158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05-03-40
OR
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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