MR. Matthew Wayne Theeler SR., CADC1

NPI #1639225071 in Woodburn, Oregon

Provider Information

NPI Number
1639225071
Entity Type
Individual
Name
MR. Matthew Wayne Theeler SR., CADC1
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
CADC1
Enumeration Date
Jan 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
399 YOUNG ST
State
Oregon
ZIP Code
97071-4817
Phone
(503) 981-5265

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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