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Individual

MR. ROBERT CHARLES KOEHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
(503) 434-9846
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
(503) 434-9846

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
OR

Other

Enumeration date
04/23/2017
Last updated
04/23/2017
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