Adam Tyrone Cassell A.A.

NPI 1780968552 - Counselor - 101Y00000X

NPI Details
NPI 1780968552
Gender Male
Enumeration Date 09/28/2011
Last Updated 09/28/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
550 RIVER RD
EUGENE OR, 97404-3212, US
Phone (541) 743-2611
Fax
Business Location
120 F ST APT 4
SPRINGFIELD OR, 97477-3920, US
Phone (541) 736-5926
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Oregon
License Number 93-0605174
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According to our database, Mr. Adam Tyrone Cassell A.A. NPI is 1780968552, taxonomy code is 101Y00000X and license number is 93-0605174, license state is located at Oregon. Adam Tyrone Cassell A.A. physically located at 550 River Rd, Eugene OR, 97404-3212. NPI Number Adam Tyrone Cassell A.A. has the Individual type.

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1780968552 NPI number is provided on an as is basis without warranty of any kind. 1780968552 is maintained by the National Plan & Provider Enumeration System. The contents of Adam Tyrone Cassell A.A. are for informational purposes only.