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1104648880
GARTH SWANSON
PORTLAND, OR
NPI
1104648880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
GARTH SWANSON
411 NE 19TH AVE
PORTLAND, OR 97232-4801
Phone number: 503-442-1145
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Mailing Address
GARTH SWANSON
411 NE 19TH AVE
PORTLAND, OR 97232-4801
Phone number:
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