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1396491510
SHAWN GARY DEWALL
PORTLAND, OR
NPI
1396491510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-02-25
Last Update Date
2022-02-25
Business Address
SHAWN GARY DEWALL
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-980-8142
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Mailing Address
SHAWN GARY DEWALL
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-980-8142
Copy
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