Individual
PETER DEPAOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7440 SW HUNZIKER ST, SUITE D, TIGARD, OR 97223-8245
(503) 624-0456
(503) 624-0458
Mailing address
7440 SW HUNZIKER ST, SUITE D, TIGARD, OR 97223-8245
(503) 624-0456
(503) 624-0458
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
93-1220053
OR
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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