IAN SEWARD KENNINGTON

COOS BAY, OR
NPI1831967850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  23-CRM-2708)
Enumeration Date2023-12-19
Last Update Date2023-12-19
Business Address
IAN SEWARD KENNINGTON
155 S EMPIRE BLVD
COOS BAY, OR 97420-3374
Phone number: 541-756-3111
Mailing Address
IAN SEWARD KENNINGTON
155 S EMPIRE BLVD
COOS BAY, OR 97420-3374
Phone number: 541-756-3111