Derwin Decker CADC 1

NPI 1619208337 - Counselor - 101YA0400X

NPI Details
NPI 1619208337
Gender Male
Enumeration Date 01/20/2010
Last Updated 01/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3949 SOUTH 6TH STREET
KLAMATH FALLS OR, 97603-4746, US
Phone (541) 882-1487
Fax (541) 882-1670
Business Location
3949 SOUTH 6TH STREET
KLAMATH FALLS OR, 97603-4746, US
Phone (541) 882-1487
Fax (541) 882-1670
Toxanomy
Taxonomy Code 101YA0400X
License State Oregon
License Number 95-04-35
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According to our database, Derwin Decker CADC 1 NPI is 1619208337, taxonomy code is 101YA0400X and license number is 95-04-35, license state is located at Oregon. Derwin Decker CADC 1 physically located at 3949 South 6th Street, Klamath Falls OR, 97603-4746. NPI Number Derwin Decker CADC 1 has the Individual type.

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1619208337 NPI number is provided on an as is basis without warranty of any kind. 1619208337 is maintained by the National Plan & Provider Enumeration System. The contents of Derwin Decker CADC 1 are for informational purposes only.