Individual
COLIN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 301-6060
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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