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1083497911
MILES EVAN DORNFELD
PORTLAND, OR
NPI
1083497911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
Miss MILES EVAN DORNFELD
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-239-8101
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Mailing Address
Miss MILES EVAN DORNFELD
424 NE 22ND AVE
PORTLAND, OR 97232-2809
Phone number: 541-231-6159
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