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1285970327
KOREL PONTI-FOSS
PORTLAND, OR
NPI
1285970327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T1102)
Enumeration Date
2012-12-18
Last Update Date
2016-10-31
Business Address
-- KOREL PONTI-FOSS M.A., LMFT, ATR
5932 NE GLISAN ST
PORTLAND, OR 97213-3754
Phone number: 503-956-6133
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Mailing Address
-- KOREL PONTI-FOSS M.A., LMFT, ATR
7831 SE STARK ST SUITE 202
PORTLAND, OR 97215-2357
Phone number: 503-956-6133
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