Individual
MR. DONALD WILLIAM WISSUSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.S.
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 885-7376
Mailing address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 885-7366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T0082
OR
Other
Enumeration date
08/16/2006
Last updated
07/13/2007
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