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1174777494
NATHANIEL ROBERTS
PORTLAND, OR
NPI
1174777494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
NATHANIEL ROBERTS
9268 SE CLINTON ST
PORTLAND, OR 97266-1456
Phone number: 503-872-9664
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Mailing Address
NATHANIEL ROBERTS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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