FREDMILG CONRADO

CORVALLIS, OR
NPI1760926612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2016-12-12
Last Update Date2018-10-17
Business Address
FREDMILG CONRADO
530 NW 27TH ST
CORVALLIS, OR 97330
Phone number: 541-766-6835
Mailing Address
FREDMILG CONRADO
530 NW 27TH ST
CORVALLIS, OR 97330-5298
Phone number: 541-766-6835