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1386984854
BRADLEY ROYCE PENDERGRAFT
PORTLAND, OR
NPI
1386984854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 2227)
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
Mr. BRADLEY ROYCE PENDERGRAFT LCSW
6105 SW MACADAM AVE SUITE 100
PORTLAND, OR 97239-3640
Phone number: 503-327-8713
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Mailing Address
Mr. BRADLEY ROYCE PENDERGRAFT LCSW
6105 SW MACADAM AVE SUITE 100
PORTLAND, OR 97239-3640
Phone number: 503-327-8713
Copy
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