ABDUL FOFANAH

PORTLAND, OR
NPI1235689191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-04
Last Update Date2017-09-26
Business Address
-- ABDUL FOFANAH
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
-- ABDUL FOFANAH
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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