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Christopher Bowling

Counselor, Addiction (Substance Use Disorder) in Coburg, OR. Individual provider (NPI-1).

NPI number1114632569
StatusActive
Last updated in NPPESJan 19, 2023

Details

NPI
1114632569
Entity type
Individual (NPI-1)
Name
Christopher Bowling
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2023
Certification date
Jan 19, 2023
Last updated
Jan 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)T-22-1989ORYes

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Phone 541-687-1110

Mailing address

1 Serenity Ln
Coburg, OR 97408-9350

Phone 541-687-1110

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