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1538516307
BRIAN NELSON
MILWAUKIE, OR
NPI
1538516307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 10-03-26)
Enumeration Date
2016-05-20
Last Update Date
2019-08-14
Business Address
BRIAN NELSON CADC I
6902 SE LAKE RD STE 300
MILWAUKIE, OR 97267-2148
Phone number: 971-255-0658
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Mailing Address
BRIAN NELSON CADC I
6902 SE LAKE RD STE 300
MILWAUKIE, OR 97267-2148
Phone number: 971-255-0658
Copy
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