Individual
JOE KISSELBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 2ND AVE SW, SUITE 101, ALBANY, OR 97321-2482
(541) 967-3866
Mailing address
425 2ND AVE SW, SUITE 101, ALBANY, OR 97321-2482
(541) 967-3866
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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