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1073261921
CHRISTOPHER KENJI KUBOTA
TIGARD, OR
NPI
1073261921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-10
Last Update Date
2022-03-10
Business Address
Mr. CHRISTOPHER KENJI KUBOTA
11970 SW GREENBURG RD
TIGARD, OR 97223-6453
Phone number: 503-624-8304
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Mailing Address
Mr. CHRISTOPHER KENJI KUBOTA
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number:
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