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1518773415
ALFRED SMITH
PORTLAND, OR
NPI
1518773415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-12-05
Last Update Date
2024-12-05
Business Address
ALFRED SMITH
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211-1708
Phone number: 503-280-6646
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Mailing Address
ALFRED SMITH
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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