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1164118899
DEVUN NICHOLAS JAMES ROBERTS
PORTLAND, OR
NPI
1164118899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
DEVUN NICHOLAS JAMES ROBERTS
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-763-9606
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Mailing Address
DEVUN NICHOLAS JAMES ROBERTS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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