DONDRAE FAIR

PORTLAND, OR
NPI1174925366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OR  14.crm.008)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2014-09-19
Last Update Date2015-10-22
Business Address
-- DONDRAE FAIR CRM
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-764-7445
Mailing Address
-- DONDRAE FAIR CRM
3910 SE STARK
PORTLAND, OR 97214
Phone number: