MONTE C PELTO

PORTLAND, OR
NPI1104040518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  97-04-104)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
MONTE C PELTO CADCII
808 SW ALDER ST STE 300
PORTLAND, OR 97205-3133
Phone number: 503-226-2203
Mailing Address
MONTE C PELTO CADCII
6845 SW NYBERG ST #I306
TUALATIN, OR 97062-7467
Phone number: 503-612-1701
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