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1215206883
JEFFREY M BURNHAM
TIGARD, OR
NPI
1215206883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-12-27
Last Update Date
2011-12-27
Business Address
JEFFREY M BURNHAM
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3696
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Mailing Address
JEFFREY M BURNHAM
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3696
Copy
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