GARY JAMES HENRY

PORTLAND, OR
NPI1114065091
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-02
Last Update Date2007-12-05
Business Address
-- GARY JAMES HENRY
9268 SE CLINTON ST
PORTLAND, OR 97266-1456
Phone number: 503-872-4080
Mailing Address
-- GARY JAMES HENRY
9268 SE CLINTON ST
PORTLAND, OR 97266-1456
Phone number: 503-872-4080
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