SUSAN RAE MASOG BS,CADC1
NPI 1225207244
Counselor - Addiction (Substance Use Disorder) in Lebanon, OR
Active since February 23, 2008
About Susan Rae Masog Bs,cadc1 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN RAE MASOG BS,CADC1 (NPI 1225207244) is an individual addiction (substance use disorder) provider in Lebanon, Oregon, licensed in Oregon (04-11-19) and active in the NPI registry since February 2008.
NPPES Registry Identity
NPI1225207244
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN RAE MASOGCredential: BS,CADC1
Location Address740 W AIRWAY RDLebanon, OR 97355-1337
Mailing Address740 W Airway RdLebanon, OR 97355-1337 · (541) 451-5617
Phone(541) 451-5617
Sole ProprietorNo
Enumeration DateFebruary 23, 2008
✔ NPI 1225207244 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 04-11-19
740 W AIRWAY RD, Lebanon, OR 97355
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225207244, enumerated as an "individual" on February 23, 2008.
The provider is located at 740 W AIRWAY RD LEBANON, OR 97355 and the phone number is (541) 451-5617.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
