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1538600218
RICHARD DAVIS
PORTLAND, OR
NPI
1538600218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-03-15
Last Update Date
2017-03-15
Business Address
-- RICHARD DAVIS
324 NW DAVIS ST.
PORTLAND, OR 97209
Phone number: 503-226-2203
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Mailing Address
-- RICHARD DAVIS
324 NW DAVIS ST.
PORTLAND, OR 97209
Phone number: 503-226-2203
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