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1578922621
GERARDO MENA
PORTLAND, OR
NPI
1578922621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2016-02-17
Last Update Date
2016-02-17
Business Address
MR. GERARDO MENA BA, CDC II
18210 E BURNSIDE ST SUITE A
PORTLAND, OR 97233-5343
Phone number: 503-766-2582
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Mailing Address
MR. GERARDO MENA BA, CDC II
18210 E BURNSIDE ST SUITE A
PORTLAND, OR 97233-5343
Phone number: 503-766-2582
Copy
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