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1316312085
NEWTON GBORWAY
PORTLAND, OR
NPI
1316312085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
-- NEWTON GBORWAY
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- NEWTON GBORWAY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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