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Individual

MR. WILLIAM THOMAS RYAN MERISTEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA, QMHA

Contact information

Practice address
DE PAUL TREATMENT CENTERS, 1312 SW WASHINGTON, PORTLAND, OR 97208-3007
(503) 535-1150
Mailing address
DE PAUL TREATMENT CENTERS, PO BOX 3007, PORTLAND, OR 97208-3007
(503) 535-1150

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/30/2013
Last updated
10/28/2014
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