Individual
MS. FRANCISCA DARLENE RILATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 444-1030
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-947
OR
172V00000X
Community Health Worker
20-CRM-039
OR
Other
Enumeration date
03/10/2020
Last updated
07/23/2021
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