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NPI Code Detail

MEDICARE: JAIME MARIE PRESTON

MEDICARE:   JAIME MARIE PRESTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCADC-ROR

General Provider Information

NPI Number : 1588541767
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME MARIE PRESTON
Provider Business Mailing Address
First Line : 1060 WEBBER ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3749
Country : US
Telephone Number : 541-296-5452
Fax Number : 541-296-5263
Provider Business Practice Location Address
First Line : 1060 WEBBER ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3749
Country : US
Telephone Number : 541-296-5452
Fax Number : 541-296-5263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2025
Last Update Date : 12/10/2025

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Directions to “ JAIME MARIE PRESTON ” Practice Location

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