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1396252300
SIMON JOSEPH KLEIN
PORTLAND, OR
NPI
1396252300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-29
Last Update Date
2024-09-25
Business Address
SIMON JOSEPH KLEIN
1949 SE 122ND AVE
PORTLAND, OR 97233-1303
Phone number: 503-253-5954
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Mailing Address
SIMON JOSEPH KLEIN
232 NW 6TH AVENUE ATTN: BBIS CREDENTIALING
PORTLAND, OR 97209
Phone number: 503-294-1681
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