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1043356322
EOIN BASTABLE
PORTLAND, OR
NPI
1043356322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR L11451)
Enumeration Date
2007-01-30
Last Update Date
2024-01-11
Business Address
Mr. EOIN BASTABLE LCSW
4520 NE 32ND PL
PORTLAND, OR 97211-7710
Phone number: 503-360-7011
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Mailing Address
Mr. EOIN BASTABLE LCSW
4520 NE 32ND PL
PORTLAND, OR 97211-7710
Phone number: 503-360-7011
Copy
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