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Individual

JAIME DUENAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
Mailing address
5815 NE 34TH ST APT L, VANCOUVER, WA 98661-6761

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91-1585652
WA
Enumeration date
08/20/2018
Last updated
01/11/2019
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