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1225846140
CHAZ A CONTRERAS
PORTLAND, OR
NPI
1225846140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T24-4684)
Enumeration Date
2024-12-23
Last Update Date
2024-12-23
Business Address
CHAZ A CONTRERAS
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-223-4231
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Mailing Address
CHAZ A CONTRERAS
839 NW 16TH AVE
PORTLAND, OR 97209-2302
Phone number:
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