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1407227275
LEON GOGGANS
PORTLAND, OR
NPI
1407227275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-19
Last Update Date
2015-10-19
Business Address
-- LEON GOGGANS
2521 SE 74TH AVE
PORTLAND, OR 97206-1150
Phone number: 503-597-3898
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Mailing Address
-- LEON GOGGANS
2521 SE 74TH AVE
PORTLAND, OR 97206-1150
Phone number: 503-597-3898
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