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1023866878
4D TREATMENT MENTOR SERVICES
PORTLAND, OR
NPI
1023866878
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Entity Type
Organization
Authorized Contact
NICHOLAS MATHIAS THOMAS CRAPSER
Clinical Director
971-422-0044
Organization Subpart ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
4D TREATMENT MENTOR SERVICES
11010 SE DIVISION ST STE 200
PORTLAND, OR 97266-6400
Phone number: 971-422-0044
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Mailing Address
4D TREATMENT MENTOR SERVICES
11010 SE DIVISION ST STE 200
PORTLAND, OR 97266-6400
Phone number: 971-422-0044
Copy
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