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1124538160
KENT J CARPENTER
PORTLAND, OR
NPI
1124538160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
KENT J CARPENTER
15208 SE TIBBETTS ST
PORTLAND, OR 97236-2356
Phone number: 503-760-0959
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Mailing Address
KENT J CARPENTER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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