Individual
DAVE F. VIALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1273
Mailing address
(202) 913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470
(541) 440-1000
(541) 440-1273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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