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1578682662
BRAD TAYLOR
PORTLAND, OR
NPI
1578682662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- BRAD TAYLOR
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number: 503-228-7134
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Mailing Address
-- BRAD TAYLOR
PO BOX 11112
PORTLAND, OR 97211-0112
Phone number:
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