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1184218562
DEREK MIRES
HILLSBORO, OR
NPI
1184218562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-02-25
Last Update Date
2021-12-20
Business Address
DEREK MIRES CRM
720 SE WASHINGTON ST
HILLSBORO, OR 97123-4230
Phone number: 503-648-0753
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Mailing Address
DEREK MIRES CRM
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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