Individual
CAMERON WAYNE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Mailing address
33803 SUNSET VIEW LN, SHEDD, OR 97377-9758
(541) 466-5564
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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