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1205156619
ALEKSANDR PEIKRISHVILI
PORTLAND, OR
NPI
1205156619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-08
Last Update Date
2010-06-08
Business Address
-- ALEKSANDR PEIKRISHVILI MSW
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
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Mailing Address
-- ALEKSANDR PEIKRISHVILI MSW
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
Copy
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