Individual
MR. VIC L DULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR I
Contact information
Practice address
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER WESTERN OREGON SERVICE UNI, SALEM, OR 97305-1119
(503) 304-7600
(503) 304-7678
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
(503) 304-7678
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
014638
—
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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