IRA HAUSAM

HILLSBORO, OR
NPI1114319241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-02-26
Last Update Date2015-02-26
Business Address
-- IRA HAUSAM
971 SW WALNUT ST
HILLSBORO, OR 97123-5651
Phone number: 503-640-5297
Mailing Address
-- IRA HAUSAM
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number:
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