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1235518655
MICHAEL FAIRGRIEVE
PORTLAND, OR
NPI
1235518655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-05-19
Last Update Date
2018-11-27
Business Address
MICHAEL FAIRGRIEVE
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
MICHAEL FAIRGRIEVE
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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