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1144494725
JOSEPH MARK ALEXANDER
PORTLAND, OR
NPI
1144494725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 1685)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
-- JOSEPH MARK ALEXANDER
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-827-3644
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Mailing Address
-- JOSEPH MARK ALEXANDER
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-827-3644
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