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1194007229
DYLAN NEIL FIELDS
PORTLAND, OR
NPI
1194007229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-14
Last Update Date
2024-05-16
Business Address
Mr. DYLAN NEIL FIELDS LPC
12121 E BURNSIDE ST
PORTLAND, OR 97216-3737
Phone number: 971-361-7760
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Mailing Address
Mr. DYLAN NEIL FIELDS LPC
1215 NE 63RD AVE
PORTLAND, OR 97213-4903
Phone number: 971-237-3329
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