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1053856955
JOSE LUIS MARTINEZ-ALCOSER
BEAVERTON, OR
NPI
1053856955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-12-30
Last Update Date
2016-12-30
Business Address
-- JOSE LUIS MARTINEZ-ALCOSER
14255 SW BRIGADOON CT
BEAVERTON, OR 97005-3369
Phone number: 503-641-1475
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Mailing Address
-- JOSE LUIS MARTINEZ-ALCOSER
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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