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1063902732
COLEBY RICHARD VILLASENOR
MILWAUKIE, OR
NPI
1063902732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-17
Last Update Date
2024-05-07
Business Address
COLEBY RICHARD VILLASENOR
6605 SE LAKE RD
MILWAUKIE, OR 97222-2161
Phone number: 503-655-8471
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Mailing Address
COLEBY RICHARD VILLASENOR
2051 KAEN RD STE 200
OREGON CITY, OR 97045-4035
Phone number:
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