ALLEN ROBERT WELLINGTON VERELLEY

PORTLAND, OR
NPI1649549759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-12-19
Last Update Date2011-12-19
Business Address
-- ALLEN ROBERT WELLINGTON VERELLEY
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-9581
Mailing Address
-- ALLEN ROBERT WELLINGTON VERELLEY
1224 SE BELMONT ST APT. 2
PORTLAND, OR 97214-2565
Phone number:
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