MIKE GRASS

BEND, OR
NPI1225468549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-11-22
Last Update Date2013-11-22
Business Address
-- MIKE GRASS
63034 O B RILEY RD
BEND, OR 97701-8102
Phone number: 541-728-0062
Mailing Address
-- MIKE GRASS
63034 O B RILEY RD
BEND, OR 97701-8102
Phone number: 541-728-0062