Individual
MR. KEVIN YOUNG RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
420 3RD AVE SW, ALBANY, OR 97321-2261
(541) 231-7538
(541) 812-0116
Mailing address
420 3RD AVE SW, ALBANY, OR 97321-2261
(541) 231-7538
(541) 812-0116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3295
OR
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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