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1114662079
JOHN S ALAM
PORTLAND, OR
NPI
1114662079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 23-QMHA-I-003729)
Enumeration Date
2022-05-04
Last Update Date
2023-06-06
Business Address
JOHN S ALAM QMHA-I
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
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Mailing Address
JOHN S ALAM QMHA-I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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