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1336412857
BRET G WINNINGHAM
CORVALLIS, OR
NPI
1336412857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
Mr. BRET G WINNINGHAM
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5912
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Mailing Address
Mr. BRET G WINNINGHAM
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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