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1437431038
RUSH STREET
PORTLAND, OR
NPI
1437431038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
-- RUSH STREET
4925 N ALBINA AVE
PORTLAND, OR 97217-2609
Phone number: 503-548-4922
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Mailing Address
-- RUSH STREET
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number:
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