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1043522469
ROBERT JOHN CRIPPEN
PORTLAND, OR
NPI
1043522469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 09-P-07)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
-- ROBERT JOHN CRIPPEN CADC 1
726 W BURNSIDE ST
PORTLAND, OR 97209-3515
Phone number: 503-944-4410
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Mailing Address
-- ROBERT JOHN CRIPPEN CADC 1
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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