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Individual

JASON RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3600 13TH ST, BAKER CITY, OR 97814-1346
(541) 523-9894
Mailing address
2845 MADISON ST, BAKER CITY, OR 97814-2558
(541) 403-4675

Taxonomy

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

Other

Enumeration date
08/17/2017
Last updated
08/17/2017
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