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1003111790
ERIC WESLEY EWING
PORTLAND, OR
NPI
1003111790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 16627)
Enumeration Date
2011-01-11
Last Update Date
2011-01-11
Business Address
Mr. ERIC WESLEY EWING LMT
5845 NE HOYT ST APT 204
PORTLAND, OR 97213-3781
Phone number: 707-672-4123
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Mailing Address
Mr. ERIC WESLEY EWING LMT
5845 NE HOYT ST APT 204
PORTLAND, OR 97213-3781
Phone number: 707-672-4123
Copy
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