David M Fricks

NPI 1629253539 - Counselor - 101Y00000X

NPI Details
NPI 1629253539
Gender Male
Enumeration Date 01/09/2008
Last Updated 01/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1500 NE IRVING ST
SUITE 250
PORTLAND OR, 97232-2243, US
Phone (503) 233-4356
Fax
Business Location
1500 NE IRVING ST
SUITE 250
PORTLAND OR, 97232-2243, US
Phone (503) 233-4356
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, David M Fricks NPI is 1629253539, taxonomy code is 101Y00000X David M Fricks physically located at 1500 Ne Irving St, Portland OR, 97232-2243. NPI Number David M Fricks has the Individual type.

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1629253539 NPI number is provided on an as is basis without warranty of any kind. 1629253539 is maintained by the National Plan & Provider Enumeration System. The contents of David M Fricks are for informational purposes only.