Individual
DAVID PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 SW ACADEMY ST STE 333, DALLAS, OR 97338-1996
(503) 623-9289
(503) 831-9289
Mailing address
182 SW ACADEMY ST STE 333, DALLAS, OR 97338-1996
(503) 623-9289
(503) 831-1726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
07/21/2022
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