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1447765250
DOUGLAS BANASKY
CLACKAMAS, OR
NPI
1447765250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2928)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
DOUGLAS BANASKY MSW, LCSW
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
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Mailing Address
DOUGLAS BANASKY MSW, LCSW
5200 SE 132ND AVE APT 5
PORTLAND, OR 97236-4186
Phone number:
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