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1285124545
TODD BRADLEY PETRIE
PORTLAND, OR
NPI
1285124545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 17-CRM-013)
Enumeration Date
2018-05-12
Last Update Date
2018-05-12
Business Address
TODD BRADLEY PETRIE
7916 SE FOSTER RD STE 201
PORTLAND, OR 97206-4289
Phone number: 503-374-3730
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Mailing Address
TODD BRADLEY PETRIE
PO BOX 16756
PORTLAND, OR 97292-0756
Phone number: 503-374-3730
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