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1255918413
JEREMY LANKENAU
PORTLAND, OR
NPI
1255918413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
JEREMY LANKENAU MS, QMHP
1825 NE GLISAN ST
PORTLAND, OR 97232-2844
Phone number: 503-963-7676
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Mailing Address
JEREMY LANKENAU MS, QMHP
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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