MR. Marco Gonzalez-Kensler

NPI #1760754873 in Corvallis, Oregon

Provider Information

NPI Number
1760754873
Entity Type
Individual
Name
MR. Marco Gonzalez-Kensler
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Feb 4, 2012
Last Updated
Feb 4, 2012

Practice Location

Address
4455 NE HIGHWAY 20
State
Oregon
ZIP Code
97330-9695
Phone
(541) 758-5900

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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