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Individual

DALLAS D NEIGHBORS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC II, QMHA-R

Contact information

Practice address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 588-5351
Mailing address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 588-5351

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-06-54
OR
171M00000X
Case Manager/Care Coordinator
20-QMHA-R-0491
OR

Other

Enumeration date
03/27/2013
Last updated
07/30/2020
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