ANDREW BLACK

PORTLAND, OR
NPI1306204193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
ANDREW BLACK
17640 NE HALSEY ST
PORTLAND, OR 97230-6733
Phone number: 503-489-5045
Mailing Address
ANDREW BLACK
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 503-913-9656
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