MATHIAS QUACKENBUSH

PORTLAND, OR
NPI1528314614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-07-26
Last Update Date2017-08-15
Business Address
-- MATHIAS QUACKENBUSH MSW
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
-- MATHIAS QUACKENBUSH MSW
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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