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1518315829
JES RYAN BRADSHAW
PORTLAND, OR
NPI
1518315829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-05-26
Last Update Date
2019-06-28
Business Address
MR. JES RYAN BRADSHAW MA
2923 NE BROADWAY ST
PORTLAND, OR 97232-1760
Phone number: 503-941-0856
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Mailing Address
MR. JES RYAN BRADSHAW MA
2923 NE BROADWAY ST
PORTLAND, OR 97232-1760
Phone number: 503-941-0856
Copy
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