LIFESOURCE,INC
Agencies at 44 Ave, Sweet Home, OR

License number
Oregon C0734
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. PETER THOMAS KAUFFMAN MA
Title: PRESIDENT
Phone: (541) 409-1206
Address
Address 2
1266 44Th Ave, Sweet Home, OR 97386
PO Box 724, Foster, OR 97345
National Provider ID: 1073954806
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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