MICAH DI SIMONE

PORTLAND, OR
NPI1518568476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101Y00000X Counselor
Enumeration Date2020-11-05
Last Update Date2022-09-29
Business Address
MICAH DI SIMONE
3036 NE MLK JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
Mailing Address
MICAH DI SIMONE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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