Individual
MR. CALEB DALE VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5306 BALLARD AVE NW STE 218, SEATTLE, WA 98107-4366
(360) 739-7566
Mailing address
9 BOSTON ST, SEATTLE, WA 98109-2320
(360) 739-7566
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
08/06/2020
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