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1295861979
GERALD N BACKUS
PORTLAND, OR
NPI
1295861979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. GERALD N BACKUS MA
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-233-4356
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Mailing Address
Mr. GERALD N BACKUS MA
10441 SE COOK CT APT 385
MILWAUKIE, OR 97222-1535
Phone number: 503-206-7816
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