CONNOR LEE ULLRICH

COBURG, OR
NPI1851252555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-25-6166)
Enumeration Date2025-11-21
Last Update Date2025-11-21
Business Address
CONNOR LEE ULLRICH
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-692-8200
Mailing Address
CONNOR LEE ULLRICH
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-692-8200
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