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1497116271
KEVIN MCCLUE
PORTLAND, OR
NPI
1497116271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-03-08
Last Update Date
2016-03-08
Business Address
-- KEVIN MCCLUE
324 NW DAVIS
PORTLAND, OR 97007
Phone number: 503-226-2203
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Mailing Address
-- KEVIN MCCLUE
324 NW DAVIS ST.
PORTLAND, OR 97007
Phone number: 503-226-2203
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