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Individual

MR. COLIN LANCE HANCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADCII

Contact information

Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7527
(503) 434-9846
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7527
(503) 434-9846

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/11/2007
Last updated
01/16/2015
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