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1356480115
JONATHAN DOUGLAS DAHL
PORTLAND, OR
NPI
1356480115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-06
Last Update Date
2011-09-06
Business Address
Mr. JONATHAN DOUGLAS DAHL MWS, QMHP
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-853-5955
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Mailing Address
Mr. JONATHAN DOUGLAS DAHL MWS, QMHP
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-853-5955
Copy
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