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1104040518
MONTE C PELTO
PORTLAND, OR
NPI
1104040518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 97-04-104)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
-- MONTE C PELTO CADCII
808 SW ALDER ST STE 300
PORTLAND, OR 97205-3133
Phone number: 503-226-2203
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Mailing Address
-- MONTE C PELTO CADCII
6845 SW NYBERG ST #I306
TUALATIN, OR 97062-7467
Phone number: 503-612-1701
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