DARRELL WADE

PORTLAND, OR
NPI1366888489
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-05-15
Last Update Date2013-05-15
Business Address
-- DARRELL WADE
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
Mailing Address
-- DARRELL WADE
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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