JULIO A MATAMLA-OST

MCMINNVILLE, OR
NPI1326172446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  CADCII 96-04-143)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- JULIO A MATAMLA-OST
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
Mailing Address
-- JULIO A MATAMLA-OST
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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