KANAPATHY - SUPPAIAH

PORTLAND, OR
NPI1497971014
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  079043086N6)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
Mr. KANAPATHY - SUPPAIAH RN, PMHNP
2301 NW THURMAN ST STE A
PORTLAND, OR 97210-2581
Phone number: 503-243-7907
Mailing Address
Mr. KANAPATHY - SUPPAIAH RN, PMHNP
2301 NW THURMAN ST STE A
PORTLAND, OR 97210-2581
Phone number: 503-243-7907
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