MR. Vic L Dull, COUNSELOR I

NPI #1326261033 in Salem, Oregon

Provider Information

NPI Number: 1326261033
Entity Type: Individual
Name: MR. Vic L Dull, COUNSELOR I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: COUNSELOR I
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3750 CHEMAWA RD NE
Address 2: CHEMAWA INDIAN HEALTH CENTER WESTERN OREGON SERVICE UNI
City: Salem
State: Oregon
ZIP Code: 97305-1119
Phone: (503) 304-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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