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1144688052
COREY HALL
MILWAUKIE, OR
NPI
1144688052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-05
Last Update Date
2016-10-19
Business Address
COREY HALL
11458 SE MCEACHRON AVE
MILWAUKIE, OR 97222-1264
Phone number: 503-305-6296
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Mailing Address
COREY HALL
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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