Individual
DUANE PERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 NW 9TH ST, PRINEVILLE, OR 97754-1482
(541) 447-2631
Mailing address
739 SW CRESTVIEW LN, PRINEVILLE, OR 97754-2605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-03-13
OR
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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