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1053097048
BENJAMIN BASIRE
PORTLAND, OR
NPI
1053097048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
BENJAMIN BASIRE
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581
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Mailing Address
BENJAMIN BASIRE
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581
Copy
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