GERALD TODD FLYNN

PORTLAND, OR
NPI1366985707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  12-12-75)
Enumeration Date2016-12-01
Last Update Date2016-12-01
Business Address
-- GERALD TODD FLYNN CADC II
1316 SE 12TH AVE
PORTLAND, OR 97214-3604
Phone number: 503-897-1916
Mailing Address
-- GERALD TODD FLYNN CADC II
2135 NW 160TH AVE
BEAVERTON, OR 97006-7614
Phone number: 503-332-4969
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