MEDICARE: ALLISON DYER-YBARRONDO

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1841712692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON DYER-YBARRONDO

Provider Business Mailing Address
First Line	:	187 VILLAGE EAST WAY SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97317-7504
Country	:	US
Telephone Number	:	503-607-4557
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 LIBERTY ST SE STE 120
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4165
Country	:	US
Telephone Number	:	503-607-4557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2017
Last Update Date	:	02/05/2026

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Directions to “ ALLISON DYER-YBARRONDO ” Practice Location

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