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1043635329
MICHAEL PHELPS
PORTLAND, OR
NPI
1043635329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
-- MICHAEL PHELPS
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-238-0769
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Mailing Address
-- MICHAEL PHELPS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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