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1023401155
RYAN CARROLL
PORTLAND, OR
NPI
1023401155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6342)
Enumeration Date
2015-03-13
Last Update Date
2015-03-13
Business Address
-- RYAN CARROLL LCSW
9847 N CENTRAL ST
PORTLAND, OR 97203-1503
Phone number: 503-708-5419
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Mailing Address
-- RYAN CARROLL LCSW
9847 N CENTRAL ST
PORTLAND, OR 97203-1503
Phone number: 503-708-5419
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