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ROBERT ACKERLIND

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1356787568

Individual Registrant:
 ROBERT  ACKERLIND 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
530 NW 27TH ST  CORVALLIS, OR 97330-5223 US
Tel: 541-766-6835  Fax: 541-766-6186

Contact information for business:
5248 SW COMMONS WAY  CORVALLIS, OR 97333-1188 US
Tel: 541-738-0108  Fax: --

Registration Information:
NPI: 1356787568
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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