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1174657290
MICHAEL O'DONNELL
MCMINNVILLE, OR
NPI
1174657290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR LPC C0121)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- MICHAEL O'DONNELL
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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Mailing Address
-- MICHAEL O'DONNELL
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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