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1225156987
SETH FREDERICK PIOSKE
PORTLAND, OR
NPI
1225156987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- SETH FREDERICK PIOSKE
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1181
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Mailing Address
-- SETH FREDERICK PIOSKE
862 NE 67TH AVE APT A
PORTLAND, OR 97213-5091
Phone number: 503-535-1181
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