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1013292036
KIRK FENTON
PORTLAND, OR
NPI
1013292036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-21
Last Update Date
2013-04-19
Business Address
Mr. KIRK FENTON
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
Mr. KIRK FENTON
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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