Jonathan Douglas Dahl MWS, QMHP

NPI 1356480115 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1356480115
Gender Male
Enumeration Date 02/06/2007
Last Updated 09/06/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1904 SE DIVISION ST
PORTLAND OR, 97202-1146, US
Phone (503) 853-5955
Fax
Business Location
1904 SE DIVISION ST
PORTLAND OR, 97202-1146, US
Phone (503) 853-5955
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
Remove 1356480115 NPI Number
 

According to our database, Mr. Jonathan Douglas Dahl MWS, QMHP NPI is 1356480115, taxonomy code is 171M00000X Jonathan Douglas Dahl MWS, QMHP physically located at 1904 Se Division St, Portland OR, 97202-1146. NPI Number Jonathan Douglas Dahl MWS, QMHP has the Individual type.

Sponsored links

1356480115 NPI number is provided on an as is basis without warranty of any kind. 1356480115 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Douglas Dahl MWS, QMHP are for informational purposes only.