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1518625383
LEVI PATRICK BANKS
PORTLAND, OR
NPI
1518625383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
LEVI PATRICK BANKS
12505 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-760-8300
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Mailing Address
LEVI PATRICK BANKS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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