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1386223212
BRIAN KELSEY THOMPSON
PORTLAND, OR
NPI
1386223212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4344)
Enumeration Date
2021-04-07
Last Update Date
2021-04-07
Business Address
Mr. BRIAN KELSEY THOMPSON LCSW
1017 NE SKIDMORE ST
PORTLAND, OR 97211-3475
Phone number: 503-280-3624
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Mailing Address
Mr. BRIAN KELSEY THOMPSON LCSW
1017 NE SKIDMORE ST
PORTLAND, OR 97211-3475
Phone number: 503-280-3624
Copy
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