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1093850190
BRIAN G THOMAS
PORTLAND, OR
NPI
1093850190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
101Y00000X Counselor
(Licence: WA RC00042498)
Enumeration Date
2007-02-20
Last Update Date
2016-09-16
Business Address
Mr. BRIAN G THOMAS BA QMHA
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
Mr. BRIAN G THOMAS BA QMHA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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