PETER ANTHONY COLISTRO

PORTLAND, OR
NPI1790138741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-07-14
Last Update Date2016-07-14
Business Address
-- PETER ANTHONY COLISTRO
1508 SW 13TH AVE
PORTLAND, OR 97201-3312
Phone number: 503-726-3832
Mailing Address
-- PETER ANTHONY COLISTRO
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690