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1083488480
MICHAEL JOHN PADRTA
PORTLAND, OR
NPI
1083488480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
MICHAEL JOHN PADRTA
12512 SE STARK ST
PORTLAND, OR 97233-1070
Phone number: 503-906-9995
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Mailing Address
MICHAEL JOHN PADRTA
12540 SW MAIN ST
TIGARD, OR 97223-6198
Phone number: 503-906-9995
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