Individual
CLINTON HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
3876 BEVERLY AVE NE, BLDG G, SALEM, OR 97305-1319
(503) 361-2724
(503) 361-2782
Mailing address
3876 BEVERLY AVE NE, BLDG G, SALEM, OR 97305-1319
(503) 361-2724
(503) 361-2782
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
05/05/2017
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