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1528689031
DANIEL LOGUE BLUMENTHAL
PORTLAND, OR
NPI
1528689031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
Mr. DANIEL LOGUE BLUMENTHAL
11010 SE DIVISION ST # 202
PORTLAND, OR 97266-6400
Phone number: 503-335-5975
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Mailing Address
Mr. DANIEL LOGUE BLUMENTHAL
7204 NE GLISAN ST APT M
PORTLAND, OR 97213-6351
Phone number: 510-962-2976
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