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Organization

CASCADE PATHWAYS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAL CLIFFORD DARST CADCII (DIRECTOR)
(541) 954-7077
Entity
Organization

Contact information

Practice address
344 NW 6TH ST, CORVALLIS, OR 97330-4814
(541) 954-7077
(888) 505-1903
Mailing address
344 NW 6TH ST, CORVALLIS, OR 97330-4814
(541) 954-7077
(888) 505-1903

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-11-61
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500664843
OR
Enumeration date
06/18/2007
Last updated
09/29/2015
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