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1528513959
KENNETH J DONALD
PORTLAND, OR
NPI
1528513959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L1513)
Enumeration Date
2016-08-15
Last Update Date
2016-08-15
Business Address
-- KENNETH J DONALD LCSW, MS
12100 NW LOVEJOY ST
PORTLAND, OR 97229-4928
Phone number: 503-680-6478
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Mailing Address
-- KENNETH J DONALD LCSW, MS
12100 NW LOVEJOY ST
PORTLAND, OR 97229-4928
Phone number: 503-680-6478
Copy
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