MATHANIAL KENNETH DEAN HOLLOWELL

TIGARD, OR
NPI1710652664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-08-12
Last Update Date2021-08-12
Business Address
MATHANIAL KENNETH DEAN HOLLOWELL
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
MATHANIAL KENNETH DEAN HOLLOWELL
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690