COLTEN WAYNE LARSEN

NEWBERG, OR
NPI1811405483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2018-01-17
Last Update Date2018-01-17
Business Address
COLTEN WAYNE LARSEN MA
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: 503-554-2390
Mailing Address
COLTEN WAYNE LARSEN MA
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: 503-554-2390
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