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1558616524
WYNDHAM PIERCE MCNAIR
PORTLAND, OR
NPI
1558616524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-06--50)
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
Mr. WYNDHAM PIERCE MCNAIR CADC I
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
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Mailing Address
Mr. WYNDHAM PIERCE MCNAIR CADC I
P O BOX 3007
PORTLAND, OR 97208
Phone number: 503-535-1150
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