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1003531492
DAVID R HADDOW
PORTLAND, OR
NPI
1003531492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR r8754)
Enumeration Date
2022-10-07
Last Update Date
2024-01-18
Business Address
DAVID R HADDOW
1020 SE 60TH AVE APT 407
PORTLAND, OR 97215-2844
Phone number: 541-255-6307
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Mailing Address
DAVID R HADDOW
1020 SE 60TH AVE APT 407
PORTLAND, OR 97215-2844
Phone number: 541-255-6307
Copy
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