Individual
PEARLE DYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21115 92ND AVE E STE A, GRAHAM, WA 98338-8088
(253) 780-2018
Mailing address
18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6723
(971) 255-0658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61587228
WA
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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