ETHAN VANSELL

CORVALLIS, OR
NPI1134833213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2023-01-12
Last Update Date2023-01-12
Business Address
ETHAN VANSELL
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
Mailing Address
ETHAN VANSELL
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591