BRUCE RONALD SPYRISON

PORT ANGELES, WA
NPI1104539626
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO61385536)
Enumeration Date2022-12-29
Last Update Date2022-12-29
Business Address
BRUCE RONALD SPYRISON SUDPT
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4795
Mailing Address
BRUCE RONALD SPYRISON SUDPT
1206 W 10TH ST
PORT ANGELES, WA 98363-5620
Phone number: 360-809-8081