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1285179556
DANIEL FORSYTHE
PORTLAND, OR
NPI
1285179556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2016-12-22
Last Update Date
2019-03-12
Business Address
DANIEL FORSYTHE
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
DANIEL FORSYTHE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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