Individual
ANN DUNLAP DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14523 WESTLAKE DR STE 5, LAKE OSWEGO, OR 97035-7700
(503) 956-4827
Mailing address
14523 WESTLAKE DR STE 5, LAKE OSWEGO, OR 97035-7700
(503) 956-4827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
38425
CA
101Y00000X
Counselor
Primary
T0848
OR
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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