PRENTICE GEARY

WEST LINN, OR
NPI1982173589
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  18-01-43)
Enumeration Date2018-11-13
Last Update Date2021-09-09
Business Address
PRENTICE GEARY CADC III, QMHA
1800 BLANKENSHIP RD STE 128
WEST LINN, OR 97068
Phone number: 971-378-0367
Mailing Address
PRENTICE GEARY CADC III, QMHA
1800 BLANKENSHIP RD STE 128
WEST LINN, OR 97068-4187
Phone number: 971-378-0367
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