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1356645956
JUSTIN WILLIAM BUSH
PORTLAND, OR
NPI
1356645956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 2154)
Enumeration Date
2010-12-22
Last Update Date
2011-02-26
Business Address
Dr. JUSTIN WILLIAM BUSH Ph.D.
2100 NE BROADWAY SUITE 101
PORTLAND, OR 97232-1569
Phone number: 503-287-2800
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Mailing Address
Dr. JUSTIN WILLIAM BUSH Ph.D.
2100 NE BROADWAY SUITE 101
PORTLAND, OR 97232-1569
Phone number: 503-287-2800
Copy
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