| Organization Name: | OSOA THERAPY |
| NPI Number: | 1154619963 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY ROSE ASHTON-WILLIAMS (A&D COUNSELOR, CLINICAL SOCIAL WORK) |
| Mailing Address: | 114 Se 1st St Pendleton |
| State: | OR US |
| Postal Code: | 978012204 |
| Phone Number: | 5414299000 |
| Fax Number: | 8557387698 |
| NPI Enumeration Date: | 07/13/2011 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 07-09-56 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |