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1023155207
STALEY WOOD MIMS
PORTLAND, OR
NPI
1023155207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- STALEY WOOD MIMS QMHP MED
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
-- STALEY WOOD MIMS QMHP MED
3602 SE 28TH PL APT 15
PORTLAND, OR 97202-3070
Phone number: 503-771-0968
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