ANTONIO GENTRY

MADRAS, OR
NPI1366149403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  22-05-10400)
Enumeration Date2023-02-09
Last Update Date2023-02-09
Business Address
ANTONIO GENTRY
850 SW 4TH ST STE 201
MADRAS, OR 97741-9629
Phone number: 541-475-6575
Mailing Address
ANTONIO GENTRY
850 SW 4TH ST STE 201
MADRAS, OR 97741-9629
Phone number: 541-475-6575