Individual
MR. ROGER WILLIAM HUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC1
Contact information
Practice address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(503) 983-9900
(503) 983-9899
Mailing address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(503) 983-9900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05-07-17
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/30/2007
Last updated
11/01/2023
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