Provider Demographics
NPI:1306900709
Name:LUNA, DORA LINDA (CADC I)
Entity type:Individual
Prefix:MS
First Name:DORA
Middle Name:LINDA
Last Name:LUNA
Suffix:
Gender:F
Credentials:CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4788 WYOMING CIR NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-2744
Mailing Address - Country:US
Mailing Address - Phone:503-585-4943
Mailing Address - Fax:503-361-2688
Practice Address - Street 1:3180 CENTER ST NE
Practice Address - Street 2:DRUG TREATMENT
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4532
Practice Address - Country:US
Practice Address - Phone:503-588-5358
Practice Address - Fax:503-361-2688
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)