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1063884906
KEVIN FARIS
PORTLAND, OR
NPI
1063884906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 21674)
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
-- KEVIN FARIS LMT
7201 NE GLISAN ST SUITE C
PORTLAND, OR 97213-6369
Phone number: 503-544-0467
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Mailing Address
-- KEVIN FARIS LMT
7201 NE GLISAN ST SUITE C
PORTLAND, OR 97213-6369
Phone number: 503-544-0467
Copy
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