David Eugene Sanchez Jr., REV., CRM,

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jefferson, OR

NPI 1003636093 · NPPES record last updated Oct 14, 2024

Key facts

NPI
1003636093
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
356 N 3Rd St
Jefferson, OR 97352-9239
Phone
(541) 666-0857
NPI assigned
Oct 14, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

356 N 3Rd St
Jefferson, OR 97352-9239

Mailing address

PO Box 1255
Jefferson, OR 97352-1255
Phone (541) 666-0857

Other providers in Jefferson, OR

All providers in Jefferson, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.