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1548602774
WILLIAM THOMAS RYAN MERISTEM
PORTLAND, OR
NPI
1548602774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-07-30
Last Update Date
2014-10-28
Business Address
Mr. WILLIAM THOMAS RYAN MERISTEM BA, QMHA
DE PAUL TREATMENT CENTERS 1312 SW WASHINGTON
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
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Mailing Address
Mr. WILLIAM THOMAS RYAN MERISTEM BA, QMHA
DE PAUL TREATMENT CENTERS PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
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