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Individual

MR. GILBERT R BEANES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2586 12TH PL SE, SALEM, OR 97302-2536
(503) 371-4160
(503) 375-9727
Mailing address
2586 12TH PL SE, SALEM, OR 97302-2536
(503) 371-4160

Taxonomy

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

Other

Enumeration date
06/20/2017
Last updated
06/20/2017
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