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1174080428
JOHN THOMAS BRISTOL
PORTLAND, OR
NPI
1174080428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-22
Last Update Date
2022-03-03
Business Address
JOHN THOMAS BRISTOL CADC-I, CRM
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 971-232-3850
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Mailing Address
JOHN THOMAS BRISTOL CADC-I, CRM
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number:
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