TIMOTHY KYLE FRIEND

GRANTS PASS, OR
NPI1588425235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  23-CRM-1614)
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
TIMOTHY KYLE FRIEND
1885 NE 7TH ST
GRANTS PASS, OR 97526-3403
Phone number: 541-955-3210
Mailing Address
TIMOTHY KYLE FRIEND
1885 NE 7TH ST
GRANTS PASS, OR 97526-3403
Phone number: 541-955-3210
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