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1508226556
CRAIG CHAN
PORTLAND, OR
NPI
1508226556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-04-05)
Enumeration Date
2016-03-03
Last Update Date
2016-03-03
Business Address
-- CRAIG CHAN
10101 SW BARBUR BLVD STE 101
PORTLAND, OR 97219-5915
Phone number: 503-245-6262
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Mailing Address
-- CRAIG CHAN
10101 SW BARBUR BLVD STE 101
PORTLAND, OR 97219-5915
Phone number: 503-245-6262
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