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1497434856
DEMARIO PATTONSMITH
PORTLAND, OR
NPI
1497434856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
DEMARIO PATTONSMITH
1030 NE COUCH ST
PORTLAND, OR 97232-3067
Phone number: 503-239-8400
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Mailing Address
DEMARIO PATTONSMITH
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 971-202-7794
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