Individual
RILEY MORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 E 7TH AVE STE 220, EUGENE, OR 97401-2722
(787) 951-9285
Mailing address
1475 SAINT JOHNS AVE, HIGHLAND PARK, IL 60035-3428
(787) 951-9285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15865
PR
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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