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1528339249
DANIEL HEAD
PORTLAND, OR
NPI
1528339249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-01-26
Last Update Date
2012-01-26
Business Address
Mr. DANIEL HEAD
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-205-4350
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Mailing Address
Mr. DANIEL HEAD
1611 NE 66TH AVE
PORTLAND, OR 97213-4855
Phone number:
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