Individual
VICTOR CHARLES PANZA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(412) 736-5633
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(412) 736-5633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
12/12/2014
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