ROBERT TIMOTHY PEA

HAPPY VALLEY, OR
NPI1720379290
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-03-70)
Enumeration Date2011-05-02
Last Update Date2011-05-02
Business Address
-- ROBERT TIMOTHY PEA CADC
11089 SE WESTCHESTER AVE
HAPPY VALLEY, OR 97086-7092
Phone number: 503-307-5203
Mailing Address
-- ROBERT TIMOTHY PEA CADC
11089 SE WESTCHESTER AVE
HAPPY VALLEY, OR 97086-7092
Phone number: 503-307-5203
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