Individual
MR. DEWAYNE ALLEN PRATT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
8008 HARLAN DR, WHITE CITY, OR 97503-1311
(541) 826-2111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
03-R-21
OR
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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