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1518449826
KINO CROOKE
PORTLAND, OR
NPI
1518449826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
KINO CROOKE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
KINO CROOKE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number:
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