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1215071782
BRANDON PAUL WOMACK-MEYER
PORTLAND, OR
NPI
1215071782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 12-12-69)
Enumeration Date
2007-02-17
Last Update Date
2013-02-25
Business Address
-- BRANDON PAUL WOMACK-MEYER B.S., CADC I, QHMA
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
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Mailing Address
-- BRANDON PAUL WOMACK-MEYER B.S., CADC I, QHMA
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
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