Individual
DIANE PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 WASHBURN WAY, KLAMATH FALLS, OR 97603-3648
(541) 273-9501
(541) 273-4156
Mailing address
3314 VANDENBERG RD, KLAMATH FALLS, OR 97603-3730
(541) 882-7291
(541) 883-4213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Enumeration date
01/19/2007
Last updated
03/03/2011
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