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1407468085
ELIJAH JAMES BOONE
PORTLAND, OR
NPI
1407468085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-17
Last Update Date
2020-08-17
Business Address
ELIJAH JAMES BOONE
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
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Mailing Address
ELIJAH JAMES BOONE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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