ROBERT SHANE RICTOR

KEIZER, OR
NPI1528306271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  12-12-53)
Enumeration Date2013-01-30
Last Update Date2013-05-01
Business Address
Mr. ROBERT SHANE RICTOR CADC I, CRM
3793 RIVER RD N
KEIZER, OR 97303-4827
Phone number: 503-304-7002
Mailing Address
Mr. ROBERT SHANE RICTOR CADC I, CRM
3793 RIVER RD N STE A
KEIZER, OR 97303-4827
Phone number: 503-304-7002
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