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1265801484
MICHAEL IRVINE
CLACKAMAS, OR
NPI
1265801484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: OR 2648)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
MICHAEL IRVINE PSYD
8440 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015-5781
Phone number: 503-653-0631
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Mailing Address
MICHAEL IRVINE PSYD
8440 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015-5781
Phone number: 503-653-0631
Copy
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