institution
Tahana Whitecrow Foundation
Addiction (Substance Use Disorder) Counselor in Salem, Oregon
NPI 1356322713

Tahana Whitecrow Foundation is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Tahana Whitecrow Foundation practices in Salem, OR. The NPI Number for Tahana Whitecrow Foundation is 1356322713 and holds a License No. (Oregon).

The current practice location address for Tahana Whitecrow Foundation is 2350 Wallace Rd Nw, Salem, OR and can be reached out via phone at 503-585-0564 and via fax at 503-585-3302.

Location: 2350 Wallace Rd Nw, Salem, OR, 97304-2127
institution
Provider Profile Details
NPI Number
1356322713
Provider Name
Tahana Whitecrow Foundation
Credential
Provider Entity Type
Organization
Address
2350 Wallace Rd Nw, Salem, OR, 97304-2127
Phone Number
503-585-0564
Fax Number
503-585-3302
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132832 05 OR
institution
Provider Business Practice Location Address Details
Address
2350 Wallace Rd Nw
City
State
Zip
97304-2127
Phone Number
503-585-0564
Fax Number
503-585-3302
person
Provider Business Mailing Address Details
Address
2350 Wallace Rd Nw
City
State
Zip
97304-2127
Phone Number
503-585-0564
Fax Number
503-585-3302
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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