GREGORY VINCENT CUSSEN

PORTLAND, OR
NPI1295078475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: OR  M5308)
Enumeration Date2013-04-05
Last Update Date2013-09-10
Business Address
-- GREGORY VINCENT CUSSEN LMSW
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-988-5501
Mailing Address
-- GREGORY VINCENT CUSSEN LMSW
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-988-5501
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