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Individual

JOSEPH PAUL PANZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC, CADC II

Contact information

Practice address
7817 SW ELMWOOD ST, PORTLAND, OR 97223-9063
(503) 333-2037
(971) 255-0631
Mailing address
7817 SW ELMWOOD ST, PORTLAND, OR 97223-9063
(503) 333-2037
(971) 255-0631

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-R-22
OR
101YP2500X
Professional Counselor
Primary
C2358
OR

Other

Enumeration date
01/31/2011
Last updated
12/04/2013
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