Individual
BRUCE RONALD SPYRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(360) 477-4795
(360) 477-4798
Mailing address
1206 W 10TH ST, PORT ANGELES, WA 98363-5620
(360) 809-8081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61385536
WA
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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