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1114339280
PERA PHANICHAYAKARN
SAINT HELENS, OR
NPI
1114339280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-23
Last Update Date
2018-10-04
Business Address
PERA PHANICHAYAKARN Psy.D.
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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Mailing Address
PERA PHANICHAYAKARN Psy.D.
PO BOX 1234
SAINT HELENS, OR 97051-8234
Phone number: 503-397-5211
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