Individual
JUSTIN DORE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM, PSS
Contact information
Practice address
145 N COAST HWY STE B, NEWPORT, OR 97365-3165
(541) 272-5048
(541) 264-8754
Mailing address
145 N COAST HWY STE B, NEWPORT, OR 97365-3165
(541) 272-5048
(541) 264-8754
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-CRM-777
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW000105947
—
OR
Enumeration date
01/07/2022
Last updated
01/07/2022
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