LUIS IBARRA

PENDLETON, OR
NPI1952760415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  13-03-25)
Enumeration Date2016-02-12
Last Update Date2016-02-12
Business Address
-- LUIS IBARRA CADCI
17 SW FRAZER AVE
PENDLETON, OR 97801-2163
Phone number: 541-278-6330
Mailing Address
-- LUIS IBARRA CADCI
17 SW FRAZER AVE
PENDLETON, OR 97801-2163
Phone number: 541-278-6330
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