KIRK FENTON

PORTLAND, OR
NPI1013292036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-10-21
Last Update Date2013-04-19
Business Address
Mr. KIRK FENTON
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
Mailing Address
Mr. KIRK FENTON
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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