Ozark Gore
Ozark Gore is an Addiction (Substance Use Disorder) Psychologist in Lacey, Washington. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4804 Lacey Blvd SE Ste ALacey, WA 98503-5733
Phone: (360) 799-5782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Psychologist (primary) | Taxonomy 103TA0400X |
|---|
Record details
| NPI number | 1750916086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2020 |
| Last updated in NPPES | March 6, 2020 |
| Certification date | March 6, 2020 |
| Mailing address | 6703 Oakbrook Ct Se, Olympia, WA 98513-5672 |