David Lawrence Proud

NPI 1669607560 - Counselor - 101YM0800X

NPI Details
NPI 1669607560
Gender Male
Enumeration Date 05/20/2009
Last Updated 05/20/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3550 SE WOODWARD ST
PORTLAND OR, 97202-1552, US
Phone (503) 517-8663
Fax
Business Location
3550 SE WOODWARD ST
PORTLAND OR, 97202-1552, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, David Lawrence Proud NPI is 1669607560, taxonomy code is 101YM0800X David Lawrence Proud physically located at 3550 Se Woodward St, Portland OR, 97202-1552. NPI Number David Lawrence Proud has the Individual type.

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1669607560 NPI number is provided on an as is basis without warranty of any kind. 1669607560 is maintained by the National Plan & Provider Enumeration System. The contents of David Lawrence Proud are for informational purposes only.