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1043877103
KEVIN LEE PETERS
PORTLAND, OR
NPI
1043877103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: 101YA0400X)
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
Mr. KEVIN LEE PETERS CADC1
20 NE 10TH AVE
PORTLAND, OR 97232-2916
Phone number: 503-239-8400
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Mailing Address
Mr. KEVIN LEE PETERS CADC1
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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