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1124326137
MATTHEW LOVELL
PORTLAND, OR
NPI
1124326137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR T0680)
Enumeration Date
2011-03-01
Last Update Date
2011-03-01
Business Address
MATTHEW LOVELL LMFT
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1143
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Mailing Address
MATTHEW LOVELL LMFT
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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