| Doctor Name: | MR. JON BYRON ALBRIGHT |
| NPI Number: | 1013376235 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 13-12-01 |
| Business Practice Address: | 400 Virginia Ave #201 North Bend, OR - 974592709 |
| Business Phone Number: | 5417510357 |
| Business Fax Number: | 5417519985 |
| Mailing Address: | Po Box 1121, ROSEBURG |
| State: | OR |
| Postal Code: | 974700254 |
| Phone Number: | 5416722691 |
| Fax Number: | 5416735642 |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 13-12-01 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |