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1447074836
JEREMIAH ANDREW MANES
PORTLAND, OR
NPI
1447074836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 24-QMHAR-5647)
Enumeration Date
2024-11-12
Last Update Date
2024-11-12
Business Address
JEREMIAH ANDREW MANES QMHA-R
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
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Mailing Address
JEREMIAH ANDREW MANES QMHA-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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