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1124486774
GORDON SPATH
WEST LINN, OR
NPI
1124486774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-CRM-063)
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
-- GORDON SPATH CRM, PSS,ORO
5030 BROADWAY ST APT 14
WEST LINN, OR 97068-3365
Phone number: 503-317-0572
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Mailing Address
-- GORDON SPATH CRM, PSS,ORO
5030 BROADWAY ST APT 14
WEST LINN, OR 97068-3365
Phone number: 503-317-0572
Copy
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