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1386417335
JOSHUA MCDANNELL
PORTLAND, OR
NPI
1386417335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: OR T-23-3223)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
JOSHUA MCDANNELL CADC-R
1122 NE 122ND AVE STE 200
PORTLAND, OR 97230-2081
Phone number: 503-594-4750
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Mailing Address
JOSHUA MCDANNELL CADC-R
21724 SE ALDER DR APT 3
GRESHAM, OR 97030-2449
Phone number: 503-505-1577
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