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1023490299
RALEIGH CRONRATH
PORTLAND, OR
NPI
1023490299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
-- RALEIGH CRONRATH
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
-- RALEIGH CRONRATH
DE PAUL TREATMENT CENTERS PO BOX 3007
PORTLAND, OR 97208
Phone number: 503-535-1151
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