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1073841771
JUSTIN ELLIOT ANDERSON
PORTLAND, OR
NPI
1073841771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-11-18
Last Update Date
2015-01-26
Business Address
-- JUSTIN ELLIOT ANDERSON M.A.
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
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Mailing Address
-- JUSTIN ELLIOT ANDERSON M.A.
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
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