Jonathan R Sprague

NPI #1164015178 in Astoria, Oregon

Provider Information

NPI Number: 1164015178
Entity Type: Individual
Name: Jonathan R Sprague
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Feb 19, 2021
Last Updated: Feb 19, 2021

Practice Location

Address: 115 W BOND ST
City: Astoria
State: Oregon
ZIP Code: 97103-6009
Phone: (503) 325-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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