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1225671837
JUSTIN ANTHONY INGLETON
PORTLAND, OR
NPI
1225671837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-26
Last Update Date
2019-10-26
Business Address
JUSTIN ANTHONY INGLETON
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266-6302
Phone number: 505-450-5900
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Mailing Address
JUSTIN ANTHONY INGLETON
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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