DONALD WILLIAM WISSUSIK

TUALATIN, OR
NPI1063525756
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T0082)
Enumeration Date2006-08-16
Last Update Date2007-07-13
Business Address
Mr. DONALD WILLIAM WISSUSIK M.A., M.S.
19185 SW 90TH AVE
TUALATIN, OR 97062-7558
Phone number: 503-885-7376
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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