Individual
DANIEL TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
1435 NE 4TH ST STE B, BEND, OR 97701-4268
(541) 306-4446
(541) 550-2011
Mailing address
1435 NE 4TH ST STE B, BEND, OR 97701-4268
(541) 306-4446
(541) 550-2011
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
18CRM163
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-CRM-163
CERTIFIED RECOVERY MENTOR
OR
Enumeration date
07/26/2018
Last updated
12/17/2018
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