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1306620422
ISMOND WATERS
PORTLAND, OR
NPI
1306620422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
ISMOND WATERS
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-3216
Phone number: 503-231-7480
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Mailing Address
ISMOND WATERS
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-3216
Phone number: 503-231-7480
Copy
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