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1144727348
DAVID IXTLAHUAC
PORTLAND, OR
NPI
1144727348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T1543)
Enumeration Date
2018-04-12
Last Update Date
2020-03-03
Business Address
DAVID IXTLAHUAC LMFT
1110 SE ALDER ST STE 301
PORTLAND, OR 97214-2400
Phone number: 971-303-8243
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Mailing Address
DAVID IXTLAHUAC LMFT
3705 N OVERLOOK BLVD APT 311
PORTLAND, OR 97227-2036
Phone number: 971-303-8243
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