GRAHAM NELSON RETASKET

DALLAS, OR
NPI1629848106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-01-04
Last Update Date2024-01-04
Business Address
Mr. GRAHAM NELSON RETASKET
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-962-3928
Mailing Address
Mr. GRAHAM NELSON RETASKET
300 SE GOODNIGHT AVE UNIT 29
CORVALLIS, OR 97333-2191
Phone number: 503-975-1476
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