Individual
JOSEPH BOSQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
976 N PACIFIC HWY, WOODBURN, OR 97071-3731
(503) 981-5851
(503) 566-2977
Mailing address
976 N PACIFIC HWY, WOODBURN, OR 97071-3731
(503) 981-5851
(503) 566-2977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6650409
OR
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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