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Coleby Villasenor
NPI 1063902732 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6605 Se Lake Rd
Milwaukie, OR 97222 - Phone
- (503) 655-8471
- Organisation at this address
- Genoa Healthcare Llc
County Of Clackamas Office Of County AuditorInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Sex
- Male
- Record last updated
- 2024-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon