DANIEL WAYNE BERRYMAN

PORTLAND, OR
NPI1285134593
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-02-14
Last Update Date2019-05-29
Business Address
DANIEL WAYNE BERRYMAN
3610 NE 82ND AVE
PORTLAND, OR 97220-5182
Phone number: 503-408-9585
Mailing Address
DANIEL WAYNE BERRYMAN
3610 NE 82ND AVE
PORTLAND, OR 97220-5182
Phone number: 503-408-9585
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