LIBAN OMAR

PORTLAND, OR
NPI1467272682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-10-14
Last Update Date2024-10-14
Business Address
Mr. LIBAN OMAR CASAC
2235 NE SANDY BLVD
PORTLAND, OR 97232-2859
Phone number: 480-749-6421
Mailing Address
Mr. LIBAN OMAR CASAC
2235 NE SANDY BLVD
PORTLAND, OR 97232-2859
Phone number: 480-749-6421