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1548651482
JUSTIN OLSON
PORTLAND, OR
NPI
1548651482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
(Licence: CA IMF59382)
Enumeration Date
2015-02-13
Last Update Date
2019-07-23
Business Address
JUSTIN OLSON
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
JUSTIN OLSON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-258-4200
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