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1386151041
MARK WILLIAM FIELDS
HAPPY VALLEY, OR
NPI
1386151041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-01-03
Last Update Date
2020-02-03
Business Address
MARK WILLIAM FIELDS QMHP
11211 SE 82ND AVE STE O
HAPPY VALLEY, OR 97086-7641
Phone number: 503-722-6200
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Mailing Address
MARK WILLIAM FIELDS QMHP
11211 SE 82ND AVE STE O
HAPPY VALLEY, OR 97086-7641
Phone number: 503-722-6200
Copy
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