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1417130790
STEPHAN TIMOTHY ERAT
PORTLAND, OR
NPI
1417130790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
-- STEPHAN TIMOTHY ERAT B.A.
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-233-4356
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Mailing Address
-- STEPHAN TIMOTHY ERAT B.A.
1426 SE 25TH AVE #4
PORTLAND, OR 97214-3966
Phone number:
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