Individual
BRYAN WAYNE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 TACOMA ST, GRANTS PASS, OR 97526-9370
(541) 476-3302
(541) 476-2895
Mailing address
210 TACOMA ST, GRANTS PASS, OR 97526-9370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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