TIMOTHY DIETZ

SHERWOOD, OR
NPI1881144335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C3062)
Enumeration Date2016-10-08
Last Update Date2016-10-08
Business Address
-- TIMOTHY DIETZ LPC
16380 NE LEANDER DR
SHERWOOD, OR 97140-8579
Phone number: 503-519-3933
Mailing Address
-- TIMOTHY DIETZ LPC
16380 NE LEANDER DR
SHERWOOD, OR 97140-8579
Phone number: 503-519-3933
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