Individual
WILLIAM VAN WYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 NW IRVING AVE STE 101, BEND, OR 97703-2050
(541) 447-2631
Mailing address
210 NW IRVING AVE STE 101, BEND, OR 97703-2050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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