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1114581964
JOE LOUIS BERTAGNOLLI
PORTLAND, OR
NPI
1114581964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6863)
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
JOE LOUIS BERTAGNOLLI LCSW
3710 SW US VETERANS HOSPITAL RD # P3MHDC
PORTLAND, OR 97239-2964
Phone number: 503-402-2857
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Mailing Address
JOE LOUIS BERTAGNOLLI LCSW
3817 SW HUBER ST
PORTLAND, OR 97219-6181
Phone number:
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