Damon James I
Damon James I is an Emotionally Disturbed Childrens' Residential Treatment Facility in Corvallis, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
4455 NE Hwy 20Corvallis, OR 97330
Phone: (541) 758-5909
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X |
Record details
| NPI number | 1164623971 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2007 |
| Last updated in NPPES | March 13, 2008 |
| Mailing address | 4455 Ne Hwy 20, Corvallis, OR 97330 |
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