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1285026518
MELVON CLIFFORD HUAN SWANSTON
PORTLAND, OR
NPI
1285026518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-24
Last Update Date
2020-04-13
Business Address
Mr. MELVON CLIFFORD HUAN SWANSTON QMHA
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-284-4249
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Mailing Address
Mr. MELVON CLIFFORD HUAN SWANSTON QMHA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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