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1003234188
MICHAEL KUBETZ
PORTLAND, OR
NPI
1003234188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR C3288)
Enumeration Date
2014-04-04
Last Update Date
2014-04-04
Business Address
MICHAEL KUBETZ
6864 NE CLAREMONT AVE
PORTLAND, OR 97211-4042
Phone number: 503-241-4880
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Mailing Address
MICHAEL KUBETZ
6864 NE CLAREMONT AVE
PORTLAND, OR 97211-4042
Phone number: 503-241-4880
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