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Individual

BERNIE RICHARD COLLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
545 W UMPQUA ST, ROSEBURG, OR 97471-2979
(541) 957-5646
(541) 957-0191
Mailing address
545 W UMPQUA ST, ROSEBURG, OR 97471-2979
(541) 957-5646

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/29/2023
Last updated
03/29/2023
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