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1043920127
JOSEPH ALLEN LEICK
PORTLAND, OR
NPI
1043920127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-30
Last Update Date
2022-11-30
Business Address
JOSEPH ALLEN LEICK
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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Mailing Address
JOSEPH ALLEN LEICK
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
Copy
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