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1386236388
MARK BROGAN
PORTLAND, OR
NPI
1386236388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-10
Last Update Date
2021-10-15
Business Address
MARK BROGAN
5408 NE 29TH AVE
PORTLAND, OR 97211-6244
Phone number: 503-686-1786
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Mailing Address
MARK BROGAN
2185 SE CEDAR PARK CT
HILLSBORO, OR 97123-7203
Phone number: 971-344-4447
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