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1285134593
DANIEL WAYNE BERRYMAN
PORTLAND, OR
NPI
1285134593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-14
Last Update Date
2019-05-29
Business Address
DANIEL WAYNE BERRYMAN
3610 NE 82ND AVE
PORTLAND, OR 97220-5182
Phone number: 503-408-9585
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Mailing Address
DANIEL WAYNE BERRYMAN
3610 NE 82ND AVE
PORTLAND, OR 97220-5182
Phone number: 503-408-9585
Copy
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