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1023405743
ROBERT J LIZARDY
PORTLAND, OR
NPI
1023405743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 100114)
Enumeration Date
2015-04-21
Last Update Date
2023-11-07
Business Address
ROBERT J LIZARDY
209 SW 4TH AVE
PORTLAND, OR 97204-1813
Phone number: 719-680-0436
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Mailing Address
ROBERT J LIZARDY
2005 NE 17TH AVE APT 2
PORTLAND, OR 97212-4583
Phone number: 719-680-0436
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