COREY HALL

PORTLAND, OR
NPI1144688052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2016-02-05
Last Update Date2025-05-19
Business Address
COREY HALL
12505 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-760-8300
Mailing Address
COREY HALL
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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