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1386070795
SAMUEL WAINE OSWALD
PORTLAND, OR
NPI
1386070795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR 0177)
Enumeration Date
2013-09-17
Last Update Date
2013-09-17
Business Address
Mr. SAMUEL WAINE OSWALD
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
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Mailing Address
Mr. SAMUEL WAINE OSWALD
6455 SW NYBERG LN APT H101
TUALATIN, OR 97062-7450
Phone number: 503-805-5716
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