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1134384985
ROBERTO DIAZ CAMARILLO
WOODBURN, OR
NPI
1134384985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 98-04-08)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
Mr. ROBERTO DIAZ CAMARILLO CADC II
399 YOUNG STREET
WOODBURN, OR 97071
Phone number: 503-981-5265
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Mailing Address
Mr. ROBERTO DIAZ CAMARILLO CADC II
399 YOUNG ST
WOODBURN, OR 97071-4817
Phone number: 503-981-5265
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