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1437609138
KYLE CASSIDY
PORTLAND, OR
NPI
1437609138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- KYLE CASSIDY
6601 NE 78TH CT SUITE A3
PORTLAND, OR 97218-2823
Phone number: 503-232-3949
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Mailing Address
-- KYLE CASSIDY
6601 NE 78TH CT SUITE A3
PORTLAND, OR 97218-2823
Phone number: 503-232-3949
Copy
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