Individual
COLLIN RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC
Contact information
Practice address
128 W ANTLER AVE, REDMOND, OR 97756-1852
(541) 644-4618
Mailing address
2552 NW 19TH ST, REDMOND, OR 97756-7106
(541) 419-1513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R10527
OR
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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