Individual
COLEBY RICHARD VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6605 SE LAKE RD, MILWAUKIE, OR 97222-2161
(503) 655-8471
Mailing address
2051 KAEN RD STE 200, OREGON CITY, OR 97045-4035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/07/2024
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