Most Relevant Information
Provider Data
| NPI Number: | 1003680471 |
| Provider Name: | STEVEN DALE GREENWALD |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2023 |
| Last Updated: | 11/07/2023 |
Provider Practice Location
1906 N 20TH AVE
PASCO
WA
993013393
Practice Location Phone/Fax
| Phone: | 5097921041 |
| Fax: |
Provider Mailing Location
PO BOX 3730
PASCO
WA
993023730
Provider Mailing Phone/Fax
| Phone: | 5093085846 |
| Fax: |