GORDON SPATH

WEST LINN, OR
NPI1124486774
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-CRM-063)
Enumeration Date2016-02-10
Last Update Date2016-02-10
Business Address
-- GORDON SPATH CRM, PSS,ORO
5030 BROADWAY ST APT 14
WEST LINN, OR 97068-3365
Phone number: 503-317-0572
Mailing 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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