EDWARD ROY MOULTON

BURNS, OR
NPI1720563513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-09-27
Last Update Date2018-09-27
Business Address
EDWARD ROY MOULTON QMHA
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
Mailing Address
EDWARD ROY MOULTON QMHA
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376