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1275008252
BRENTON M MONTGOMERY
PORTLAND, OR
NPI
1275008252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-10-05
Last Update Date
2018-10-05
Business Address
BRENTON M MONTGOMERY
9320 SW BARBUR BLVD STE 200
PORTLAND, OR 97219-5499
Phone number: 503-222-9661
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Mailing Address
BRENTON M MONTGOMERY
9320 SW BARBUR BLVD STE 200
PORTLAND, OR 97219-5499
Phone number: 503-222-9661
Copy
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