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1093052912
TODD L. NICHOLSON
PORTLAND, OR
NPI
1093052912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: OR 10378251)
Enumeration Date
2013-01-11
Last Update Date
2013-01-11
Business Address
Mr. TODD L. NICHOLSON M.S.
3701 SE MILWAUKIE AVE SUITE C
PORTLAND, OR 97202-3835
Phone number: 503-314-7801
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Mailing Address
Mr. TODD L. NICHOLSON M.S.
3701 SE MILWAUKIE AVE SUITE C
PORTLAND, OR 97202-3835
Phone number: 503-314-7801
Copy
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