person
Mr. Roger Joseph Smith, CADCI
Addiction (Substance Use Disorder) Counselor in Redmond, Oregon
NPI 1205973864

Roger Joseph Smith is an Addiction (Substance Use Disorder) Counselor based in Redmond, OR and is specialized in Addiction (Substance Use Disorder). Roger Joseph Smith practices in Redmond, OR and has the professional credentials of CADCI. The NPI Number for Roger Joseph Smith is 1205973864 and holds a License No. 02-11-74 (Oregon).

The current practice location address for Roger Joseph Smith is 676 Ne Negus Way, Redmond, OR and can be reached out via phone at 541-504-9577 and via fax at 541-504-2361.

Location: 676 Ne Negus Way, Redmond, OR, 97756-0516
person
Provider Profile Details
NPI Number
1205973864
Provider Name
Roger Joseph Smith
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
676 Ne Negus Way, Redmond, OR, 97756-0516
Phone Number
541-504-9577
Fax Number
541-504-2361
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
210831 05 OR
institution
Provider Business Practice Location Address Details
Address
676 Ne Negus Way
City
State
Zip
97756-8527
Phone Number
541-504-9577
Fax Number
541-504-2361
person
Provider Business Mailing Address Details
Address
676 Ne Negus Way
City
State
Zip
97756-8527
Phone Number
541-504-9577
Fax Number
541-504-2361
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
02-11-74 (Oregon)
Definition
Definition to come...
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