Individual
SETH FREDERICK PIOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1404
(503) 535-1181
Mailing address
862 NE 67TH AVE APT A, PORTLAND, OR 97213-5091
(503) 535-1181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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