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1366720930
JOSHUA GLEN BARRETT
BEAVERTON, OR
NPI
1366720930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-06-05)
Enumeration Date
2011-07-29
Last Update Date
2011-07-29
Business Address
Mr. JOSHUA GLEN BARRETT
9700 SW BEAVERTON HILLSDALE HWY ANNEX B
BEAVERTON, OR 97005-3306
Phone number: 503-626-9494
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Mailing Address
Mr. JOSHUA GLEN BARRETT
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405
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