SearchOregon171M00000X

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 Auditor
Inferred 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