JOHN MARK CUSTER

PORTLAND, OR
NPI1487125738
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  1462)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
JOHN MARK CUSTER LCSW
3550 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-388-0042
Mailing Address
JOHN MARK CUSTER LCSW
7224 SW CAPITOL HWY
PORTLAND, OR 97219-2429
Phone number: 503-319-3420
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