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1154714020
NICHOLAD KINTIGH
PORTLAND, OR
NPI
1154714020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2015-03-16
Last Update Date
2015-03-16
Business Address
-- NICHOLAD KINTIGH MSW
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
-- NICHOLAD KINTIGH MSW
615 NW NAITO PKWY APT 501
PORTLAND, OR 97209-3890
Phone number: 503-729-2431
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