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1568839686
THOMAS FARIA
PORTLAND, OR
NPI
1568839686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
THOMAS FARIA
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
THOMAS FARIA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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