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1073956256
MARK OWEN FOSTER
PORTLAND, OR
NPI
1073956256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-08
Last Update Date
2013-04-08
Business Address
-- MARK OWEN FOSTER
2415 SE 43RD AVE SUITE 200
PORTLAND, OR 97206-1600
Phone number: 503-230-9654
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Mailing Address
-- MARK OWEN FOSTER
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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