Individual
MR. BRUCE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 751-7265
(541) 756-8982
Mailing address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 751-7265
(541) 756-8982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3580
OR
1041C0700X
Clinical Social Worker
LCS 10264
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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