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1033638283
DAVID CROUSE
PORTLAND, OR
NPI
1033638283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 16-CRM-237)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
DAVID CROUSE
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
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Mailing Address
DAVID CROUSE
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-501-5641
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