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1386388395
DOUGLAS M MITCHELL
PORTLAND, OR
NPI
1386388395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
DOUGLAS M MITCHELL
1600 SE ANKENY ST
PORTLAND, OR 97214-1448
Phone number: 503-236-7094
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Mailing Address
DOUGLAS M MITCHELL
5273 NE 24TH AVE
PORTLAND, OR 97211-6201
Phone number:
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FULL SPECTRUM THERAPY LLC