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Individual

DIRK SWARTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SUDP

Contact information

Practice address
477 BAYVIEW BLVD, NEWPORT, WA 99156-8365
(509) 475-4709
Mailing address
477 BAYVIEW BLVD, NEWPORT, WA 99156-8365
(509) 475-4709

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP60989688
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/22/2022
Last updated
11/22/2022
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