Individual
MR. LARRY J VUYLSTEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 S.W. ACADEMY, DALLAS, OR 97338
(503) 623-9289
Mailing address
892 DANIEL STREET, INDEPENDENCE, OR 97351
(503) 623-1886
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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