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1104275361
TIM BARNES
PORTLAND, OR
NPI
1104275361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 95-10-63)
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
-- TIM BARNES
324 NW DAVIS STREET
PORTLAND, OR 97209
Phone number: 503-226-2203
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Mailing Address
-- TIM BARNES
324 NW DAVIS STREET
PORTLAND, OR 97209
Phone number:
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