Individual
MR. DANIEL JOHN BATES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SERENITY LN # 91150, COBURG, OR 97408-9350
(541) 220-5789
Mailing address
480 GILBERT ST, EUGENE, OR 97402-2332
(541) 220-5789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-2192
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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