Individual
TERRY CORWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 889-9167
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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