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1184489676
MARK JS TRUJILLO
PORTLAND, OR
NPI
1184489676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2024-02-14
Last Update Date
2024-02-14
Business Address
MARK JS TRUJILLO QMHA
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
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Mailing Address
MARK JS TRUJILLO QMHA
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-367-9089
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