Cory John Caldwell, SUDRC#13587

NPI #1568199669 in North Bend, Oregon

Provider Information

NPI Number: 1568199669
Entity Type: Individual
Name: Cory John Caldwell, SUDRC#13587
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: SUDRC#13587
Enumeration Date: Aug 8, 2022
Last Updated: Jul 29, 2024

Practice Location

Address: 400 VIRGINIA AVE STE 201
City: North Bend
State: Oregon
ZIP Code: 97459-3444
Phone: (541) 751-0357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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