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1063525756
DONALD WILLIAM WISSUSIK
TUALATIN, OR
NPI
1063525756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T0082)
Enumeration Date
2006-08-16
Last Update Date
2007-07-13
Business Address
Mr. DONALD WILLIAM WISSUSIK M.A., M.S.
19185 SW 90TH AVE
TUALATIN, OR 97062-7558
Phone number: 503-885-7376
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Mailing Address
Mr. DONALD WILLIAM WISSUSIK M.A., M.S.
19185 SW 90TH AVE
TUALATIN, OR 97062-7558
Phone number: 503-885-7366
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