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1063706091
KIRK L CAUDLE
PORTLAND, OR
NPI
1063706091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-07
Last Update Date
2011-06-07
Business Address
Mr. KIRK L CAUDLE QMHA, BA
6449 SE 128TH AVE
PORTLAND, OR 97236-4652
Phone number: 503-726-3796
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Mailing Address
Mr. KIRK L CAUDLE QMHA, BA
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3690
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