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1356110456
MARCUS LATTIMORE
PORTLAND, OR
NPI
1356110456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
MARCUS LATTIMORE
1817 NE 6TH AVE
PORTLAND, OR 97212-3960
Phone number: 415-524-3098
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Mailing Address
MARCUS LATTIMORE
835 NE 114TH AVE
PORTLAND, OR 97220-2246
Phone number: 415-524-3098
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