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1396001186
KIRK E KENWARD
CLACKAMAS, OR
NPI
1396001186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-05
Last Update Date
2012-04-05
Business Address
Mr. KIRK E KENWARD
10180 SE SUNNYSIDE RD 1ST FLOOR, WING A
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0884
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Mailing Address
Mr. KIRK E KENWARD
10180 SE SUNNYSIDE RD 1ST FLOOR, WING A
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0884
Copy
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