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1508206996
COLLIN WHITE-PEDEAUX
PORTLAND, OR
NPI
1508206996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-06-28
Last Update Date
2020-01-22
Business Address
COLLIN WHITE-PEDEAUX
1825 NE GLISAN ST
PORTLAND, OR 97232-2844
Phone number: 503-963-7676
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Mailing Address
COLLIN WHITE-PEDEAUX
4101 NE DIVISION ST 100
GRESHAM, OR 97030-4617
Phone number: 503-666-3808
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