OWEN WALLULATUM, CRM
Social Work at 5 St, Eagle Crest, OR

License number
Oregon 17 CRM 065
Category
Social Work
Type
Addiction (Substance Use Disorder)
Address
Address 2
340 NW 5Th St, Eagle Crest, OR 97756
850 SW 4Th St, Metolius, OR 97741
Phone
(541) 516-4087
(541) 504-1195 (Fax)
(541) 475-4822
National Provider ID: 1265966055
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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