IAN ANDERL LILLIE

NEWPORT, OR
NPI1750969481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-04-01
Last Update Date2021-04-01
Business Address
IAN ANDERL LILLIE
51 SW LEE ST
NEWPORT, OR 97365-3823
Phone number: 541-574-5960
Mailing Address
IAN ANDERL LILLIE
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-0445