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1013585520
SPENCER JOHN GIBSON
PORTLAND, OR
NPI
1013585520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-06-12
Last Update Date
2021-06-12
Business Address
SPENCER JOHN GIBSON QMHA
3415 SE POWELL BLVD
PORTLAND, OR 97202-3396
Phone number: 503-234-9591
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Mailing Address
SPENCER JOHN GIBSON QMHA
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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