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1487008710
RUSSELL ALLEN HAMILTON
PORTLAND, OR
NPI
1487008710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-CRM-141)
Enumeration Date
2016-04-23
Last Update Date
2016-04-23
Business Address
Mr. RUSSELL ALLEN HAMILTON CRM
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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Mailing Address
Mr. RUSSELL ALLEN HAMILTON CRM
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
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