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1114141256
GARY S LIPSON
PORTLAND, OR
NPI
1114141256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 021147)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- GARY S LIPSON cadc1
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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Mailing Address
-- GARY S LIPSON cadc1
141 NE 147TH AVE #23
PORTLAND, OR 97230-4260
Phone number: 503-473-2028
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