MARK OWEN FOSTER

PORTLAND, OR
NPI1073956256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-04-08
Last Update Date2013-04-08
Business Address
-- MARK OWEN FOSTER
2415 SE 43RD AVE SUITE 200
PORTLAND, OR 97206-1600
Phone number: 503-230-9654
Mailing Address
-- MARK OWEN FOSTER
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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