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1316718950
SAMUEL MAXIE
TIGARD, OR
NPI
1316718950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
SAMUEL MAXIE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
SAMUEL MAXIE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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