Antonio Gentry
Antonio Gentry is an Addiction (Substance Use Disorder) Counselor in Madras, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
850 SW 4th St Ste 201Madras, OR 97741-9629
Phone: (541) 475-6575
Fax: (541) 475-6196
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 22-05-10400 (OR) |
|---|
Record details
| NPI number | 1366149403 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 9, 2023 |
| Last updated in NPPES | February 9, 2023 |
| Certification date | February 9, 2023 |
| Mailing address | 850 Sw 4th St Ste 201, Madras, OR 97741-9629 |
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850 SW 4th St, Madras, OR 97741-9628 · (541) 475-6575