PATRICK L DIETER

VANCOUVER, WA
NPI1205078938
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00005913)
Enumeration Date2009-03-26
Last Update Date2009-03-26
Business Address
-- PATRICK L DIETER CDP
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7369
Phone number: 360-993-3000
Mailing Address
-- PATRICK L DIETER CDP
PO BOX 1337
VANCOUVER, WA 98666-1337
Phone number: 360-993-3000
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