Donald William Wissusik in Tualatin - Addiction (substance Use Disorder)
Donald William Wissusik - NPI 1063525756
Donald William Wissusik is a Addiction (substance Use Disorder) in Tualatin, Oregon. Donald William Wissusik practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Donald William Wissusik is 1063525756. The last update date is 2007-07-13.
Donald William Wissusik's current location address is 19185 Sw 90th Ave, Tualatin, Oregon. You can contact this provider via phone number 5038857376. The mailing address for Donald William Wissusik is 19185 Sw 90th Ave, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald William Wissusik |
|---|---|
| Address | 19185 Sw 90th Ave, Tualatin, Oregon |
| Phone Number | 5038857376 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A., M.S. |
NPI Number Detail
| NPI Number | 1063525756 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 19185 Sw 90th Ave |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970627558 |
| Phone Number | 5038857376 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | T0082 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Donald William Wissusik by the Centers for Medicare & Medicaid Services (CMS)?
The Donald William Wissusik has been assigned the NPI (National Provider Identifier) 1063525756. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Donald William Wissusik's facilities are geographically located?
The facilities of Donald William Wissusik are physically situated at the following location: 19185 Sw 90Th Ave, Tualatin, OR, 970627558.
What is Donald William Wissusik's specialized field of practice, and what is the corresponding taxonomy classification code?
The Donald William Wissusik's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When did the Donald William Wissusik receive its 1063525756?
The Donald William Wissusik was issued its 1063525756 on 2006-08-16, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Donald William Wissusik, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Donald William Wissusik, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-13.
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