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1275679482
BENJAMIN MICHAEL NUGENT
PORTLAND, OR
NPI
1275679482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-29
Last Update Date
2008-04-17
Business Address
Mr. BENJAMIN MICHAEL NUGENT QMHA
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-528-8171
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Mailing Address
Mr. BENJAMIN MICHAEL NUGENT QMHA
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-528-8171
Copy
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