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1063155513
MARK IRA RECK
PORTLAND, OR
NPI
1063155513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 3539)
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
Dr. MARK IRA RECK PsyD
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205-3200
Phone number: 503-622-8964
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Mailing Address
Dr. MARK IRA RECK PsyD
3178 SW 12TH AVE APT 204
PORTLAND, OR 97239-3144
Phone number: 503-863-1290
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