EDDIE MARK MOUNIVONG

PORTLAND, OR
NPI1194329342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-11-29
Last Update Date2021-06-16
Business Address
EDDIE MARK MOUNIVONG MSW
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
EDDIE MARK MOUNIVONG MSW
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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