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1407120207
ELLIOTT WAKSMAN
PORTLAND, OR
NPI
1407120207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2012-02-27
Last Update Date
2012-02-27
Business Address
-- ELLIOTT WAKSMAN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-460-7022
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Mailing Address
-- ELLIOTT WAKSMAN
9830 NE CASCADES PKWY STE 200
PORTLAND, OR 97220-6834
Phone number:
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