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1013347343
CHRIS MATHESON
PORTLAND, OR
NPI
1013347343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
-- CHRIS MATHESON
2407 SE 139TH AVE
PORTLAND, OR 97233-2041
Phone number: 971-302-6256
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Mailing Address
-- CHRIS MATHESON
307 N MASON ST
PORTLAND, OR 97217-2932
Phone number:
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