KEVIN ORT

ALBANY, OR
NPI1912150533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  2201298)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
-- KEVIN ORT
104 4TH AVE SW RM 238
ALBANY, OR 97321-2804
Phone number: 541-967-3819
Mailing Address
-- KEVIN ORT
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3819
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