CHARLES ROBERT MALLEY

BEND, OR
NPI1760723506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-06-47)
Enumeration Date2013-03-04
Last Update Date2013-03-04
Business Address
-- CHARLES ROBERT MALLEY CADC i
461 NE GREENWOOD AVE
BEND, OR 97701-4607
Phone number: 541-516-4087
Mailing Address
-- CHARLES ROBERT MALLEY CADC i
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-516-4087
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