Individual
MERRILEN JEAN VANDEWEERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
Mailing address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3504
OR
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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