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1033855630
ALLEN MAXWELL HENDERSON
PORTLAND, OR
NPI
1033855630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-05-07
Last Update Date
2022-05-07
Business Address
ALLEN MAXWELL HENDERSON
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
ALLEN MAXWELL HENDERSON
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number:
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