JOHN VERVYNCK

PORTLAND, OR
NPI1083073019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-18
Last Update Date2016-02-18
Business Address
-- JOHN VERVYNCK
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Mailing Address
-- JOHN VERVYNCK
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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